Speaker Request Form Speaker RequestedJerry Hawkins, Executive DirectorErrika Flood-Moultrie, Director of Operations and StrategyStephanie Drenka, Communications DirectorMarta Torres, Manager of Partnerships & TransformationImani Daniel, Racial Justice Administrative ManagerAny Dallas TRHT RepresentativeName* First Last Email* Organization/Company* Tell us more about your organizationWebsite PhoneDate of Event MM slash DD slash YYYY Start Time : Hours Minutes AM PM End Time : Hours Minutes AM PM Event TypePanelConferencePresentationInternal MeetingIn-Person or Virtual? In-Person Virtual TBD Event DescriptionAudience Demographics Expected number of attendees Desired presentation length HonorariumThank you for valuing the intentional effort and hard work of our team. Will an honorarium be provided to support the mission of Dallas TRHT? Yes No Is your event a part of a fundraiser? Yes No Media coverage expected? Other speakers/invitees
