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The mission of the National AfterSchool Association is to foster development, provide education, and encourage advocacy for the out-of-school-time community.

SPEAKER/EVENT REQUEST

Are you interested in bringing an AfterSchool expert to your program or community? If so, please fill out the form below and someone from our team will be in touch to discuss details. All events must be a minimum of 45 days from the time of submission to be considered.

Event Information

Type of Event (keynote, welcome, workshop, etc.):*

Date:*

Time:*

Length:*

Is this engagement part of a larger event?* Yes No

Set up of room (theatre, rounds, etc.):*

Stage?* Yes No

Podium?* Yes No

Microphone?* Yes No

Screen/projector?* Yes No

How many participants are expected to attend?*

Audience (please describe who will be attending):*

Who will be introducing the speaker?*

Are there any special guests in the audience that the speaker should recognize?*

Message you would like the speaker to convey:*

How does this relate to the work of the host organization?*

Key accomplishments of host organization:*

Funds available for (please check all that apply):* Speaking fee Flight or other transportation Hotel None

Contact Information

Name:*

Phone:*

Email:*

Please verify

submit

Thank you for your submission! Someone from our team will be in touch to discuss details.

National AfterSchool Association • 2961A Hunter Mill Road, #626 • Oakton, VA 22124 • info@naaweb.org

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