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SCMC SPEAKER REQUEST FORM
Please complete the form below to request a speaker.
Event Name
(Required)
Name of Organization Hosting the Event
(Required)
Organization’s Website
Description of Organization
(Required)
Description and Purpose of Event
(Required)
Venue Name
(Required)
Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Event Date
(Required)
Month
Day
Year
Event Start Time
(Required)
Hours
:
Minutes
AM
PM
AM/PM
Event End Time
(Required)
Hours
:
Minutes
AM
PM
AM/PM
Speaker Start Time
(Required)
Hours
:
Minutes
AM
PM
AM/PM
Any special parking details the speaker should be aware of?
(Required)
Yes
No
Provide special parking details
(Required)
Presentation Details
Requested Presentation Topic
(Required)
Requested Speaker (name or department)
(Required)
Are you open to another speaker if your requested speaker is unavailable?
Yes
No
Do you need the speaker bio/head shot?*
(Required)
Speaker Bio
Speaker Headshot
Bio and Head Shot
Niether
Suggested Attire
(Required)
Length of Presentation Requested
(Required)
Please make a selection
15 min
30 min
45 min
60 min
75 min
90 min
105 min
120 min
150 min
180 min
Other
Alternate Length of Presentation
(Required)
PowerPoint (or other type) Requested:
(Required)
Yes
No
What Date Will You Need Presentation?
(Required)
Month
Day
Year
What A/V Equipment will be Provided?
(Required)
Will the speaker be bringing their own laptop?
Yes
No
Will there be a Q&A?
(Required)
Yes
No
Will there be press/journalists in attendance?
(Required)
Yes
No
Will this event be videotaped or recorded?
(Required)
Yes
No
Audience Size
(Required)
1–25
26–50
51–75
76–100
100–150
151–200
200+
Audience and Key Participants (description) i.e. students, general public, elected officials, educators, business leaders.
If available, please share the list of attendees
Accepted file types: pdf, docx, jpg, Max. file size: 100 MB.
Are there other speakers?
(Required)
Yes
No
List additional speaker names and business
(Required)
Event Coordinator Contact Information
Coordinator Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
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About Us
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Membership Benefits
Committees and Councils
Awards and Recognitions
Signature Events
Join Now
Issues & Advocacy
Workforce & Education
Be Pro Be Proud
Business Week
HBCU STEM
SC Future Makers
SC Manufacturing Leadership Program
SC Manufacturing Economic Impact
SC Manufacturing Madness
Login
Join Now
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