CenterEdge Speaker Request Form

 

 

Name

 

Organization

 

Address

 

Telephone

 

E-mail

 

Website

 

1.      Preferred Date

 

  1. Alternate

 

  1. Preferred Length of Presentation

 

  1. Beginning time                                                     Ending Time

 

  1. Language (specify)

 

  1. Expected number in audience

 

  1. Will space be able to be darkened to allow a presentation using an overhead projector?

 

  1. Is there:
    1. An overhead projector available?
    2. A laptop computer and projector for a powerpoint presentation?
    3. A large-screen video?

 

  1. Can the organization make photocopies of handouts? 

 

  1. Please describe the group and what you hope will result from the presentation.

 

 

 

 

 

Send to:  CenterEdge Project, 81 Saltonstall Avenue, New Haven, CT 06513  or e-mail Pwallace@oua-adh.org.

Home      CenterEdge