Discover Human Rights Institute - Request a Presentor

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Suite 550
Minneapolis, MN 55402

Phone: (612) 341-3302
Fax: (612) 341-2971

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Home > Presentations > Speaker request form	Print View

Request a Presentor

If you would like to request a presentor for a lecutre or a training, please complete this form online and a representative of The Advocates for Human Rights will contact you. We will do our best to meet your needs.

For information about our speaking fees or a list of our presentation and training options, please click the boxes to your right.

Basic Information About the Request

Name of Organization or Group Requesting a Speaker

Referred By

Specify Other Referral

First Name of Requestor

Last Name of Requestor

Phone Number

Extension

Address 1

Address 2

City

State

Zip Code

I am requesting a (select one):

Information About the Presentation or Training Requested

Presentation Date and Time

/ / : (now)

Presentation or Training Length

Presentation Options (select one):

Training Options (select one):

Comments about the Presentation or Training

Purpose/Type/Name of Event

Number of Anticipated Attendees

Event Format

Format Comments

Target Audience (select all that apply)

Pre-school
K-6 (specify age below)
Middle School
High School
University
Graduate Students
Law School
Teachers
Teachers 6-8
Teachers 8-12
Attorneys
Public Servants/Government Officials
Social Workers/Advocates
Non-profit
Judiciary
Faith Community
Refugee/Immigrant
Other

Will you require a reduced or waived fee

Yes No

Will you offer CLE credit?

Yes No

Will you offer a CEU certificate?

Yes No

Information About the Presentation or Training Site

Name of Event Location

Address of Event Location (if different from above)

Room Number/Name

City of Event Location

State of Event Location

Zip Code of Event Location

Contact Person for Event

Cell or Other Phone Number of Contact Person

Extension

A/V Available On Site (check all available)

Overhead projector
LCD Projector/Laptop
LCD Projector only
Laptop only
Screen
VCR/DVD Player
None of the above

Parking Information

Promotional Information About the Speaker or Trainer

Will you need the speaker's biography?

Yes No

Will you need the speaker's photograph?

Yes No

Additional Information

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Presentations and Trainings

Fee Schedule and Fee Waivers

Honorariums for speakers start at $100 an hour with fee waivers available. Click here to view the complete fee schedule.