Speakers
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Speaker Request to
Harbor Institute

Our Harbor team has a multitude of experience in the Greek Life, student leadership, and personal and professional arenas that often deal with complex problems. A unique combination of personal and professional experiences gives our team insight into many of the issues and concerns facing varying organizations. Our innovative strategy is designed to solve these problems by: (1) educating the college community, (2) identifying and evaluating the apparent and underlying issues and concerns and (3) empowering students, advisors, and administrators to work together to implement realistic and practical solutions.

SPEAKING ENGAGEMENT REQUEST FORM

School/Organization Information
School/Organization Name: *
Contact's Name:
   
Contact Information:
Address: *
City: *
State: *
Zip: *
Phone Number: * (ie: xxx-xxx-xxxx)
Fax Number:
Email Address: *
Website:
Alternate Contact Person:
Phone Number:
   
Event Information:
Name/Type of Event: *
Day/Date/Time of Event: *
Location of Event: *
Theme of Event:
Attire of Event:
(e.g., semi-formal, casual)
Type of Speaker Needed:
(e.g., keynote, workshop)
Alloted Speaking Time:
min (specify minutes)
Proposed Honorarium Amount:
Estimated Number of Attendees:
Other Special Guests:
Event will be Advertised: Yes (when )
Type of Advertising: Radio TV Print Flyers
Social Media Other
   
Media Information
Speaker Media Table Setup at Event: Yes If yes, set up time:
No
Volunteers Available to Work Media Table Yes No
Audio/Videotaping of Event: Yes ( Tape CD DVD)
No
Copies Available at End of Event Yes No
 

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Contact Info

  • Harbor Institute
    2020 Pennsylvania Ave NW #550
    Washington, District of Columbia 20006
  • Phone
    202-321-6132
  • Email
    info@theharborinstitute.com