Speaker Request Form

Thank you for your interest in having a team member of the Climate Foundation speak to your venue.  
In order to consider your request, we will need the following information, which you can download as a PDF here and send to Info@ClimateFoundation.org. Thank you for wanting to hear about how we are working to save the planet. 
 
  • Name of Sponsoring Organization or Company:
 
  • Contact Name:
  • Contact Email:
  • Contact mobile phone number:
 
  • Event Date:
  • Day and Time of Presentation:
  • Location: (time zone)
 
  • If meeting is on the internet - 
  • Internet location and information: 
  • IF meeting is by Zoom, 
    • Zoom channel
    • Zoom meeting ID
    • Zoom passcode
    • Zoom Meeting host
    • ​Zoom meeting host email address
 
  • Name of Event:
  • Event Description:
  • Venue Name/Type: (podcast, video, etc)
 
  • Topic you would like addressed:
  • Size of Audience:
  • Audience Description:
 
  • Length of Presentation:
  • Additional Expectations of the Speaker:
  • Who, if any, are the additional speakers?
  
  • Budget for an Honorarium/Travel Expenses:
 
  • Will the event be recorded or broadcast?
    • If so, will a publishable copy be provided to the Climate Foundation? 
 
  • Will there be advertising of the venue?
    • What form?
 

  • Additional Information that you want us to take into consideration or want us to know :