EDUCAUSE Speaking Engagement Request Form

2. Which EDUCAUSE staff member would you like to speak at your event? *This question is required.

• John O'Brien
• Crista Copp
• Eden Dahlstrom
• Mark McCormack
• Kathe Pelletier
• Jenay Robert
• Other - Write In Please enter an 'other' value for this selection.

5. What type of event is planned? *This question is required.

• Face-to-face
• Face-to-face if possible, but may transition to virtual if conditions warrant
• Virtual (Note: if the event is virtual, please skip any later questions that pertain only to F2F events)

8. What type of program are you requesting? *This question is required.

• Keynote / plenary session (no Q&A)
• Keynote / plenary session (with Q&A following presentation)
• Featured session (no Q&A)
• Featured session (with Q&A following presentation)
• Participation as part of a panel with others
• Serving as a moderator or facilitator
• Concurrent session
• Other (please describe under #8 below)

11. What is the dress code for this event?

• Business
• Business Casual
• Semi-Formal
• Formal

14. What technology will be available for this presentation?  (Please note that for presentations containing a large number of slides or video, we would want to ensure satisfactory sight lines for the audience.) *This question is required.

• PowerPoint-ready computer (required; PC)
• "Confidence monitor" (to allow viewing of PowerPoint slide notes in “presentation mode” )
• Connection to sound system for showing videos (required)
• Internet connection (preferred, but not required with advance notice)
• Lectern (required)
• Fixed-place microphone
• Lavalier or portable microphone (preferred)
• "Clicker"/presenter remote control (required)
• Other

16. Will you provide an honorarium for this speaking appearance? *This question is required.

• Yes (please indicate honorarium amount, if known) Please enter an 'other' value for this selection.
• No, we are unable to provide an honorarium

17. If this is a face-to-face event, what travel support or reimbursement is available for this appearance?

• Round-trip airfare, business class (preferred for international flights or domestic flights over 5 hours long)
• Round-trip airfare, economy class
• Lodging and ground transportation to venue
• Conference registration
• Meals during travel
• Mileage (if event is within driving distance)
• Travel visa support (if applicable)
• We are unable to provide any travel support

18. Will the presentation be recorded? *This question is required.

• Yes, recorded and available to the public
• Yes, recorded, but available only to conference attendees
• No, the session will not be recorded

19. Will any materials from the presentation (recordings, PDFs, slides) be shared online? *This question is required.

• Yes
• If YES, how long would you like to post the materials? Please enter an 'other' value for this selection.
• No

20. If the answer to Question 19 is YES, please detail who will have access to the presentation materials online

• Open to the public
• Open to members or conference attendees only
• Open to members or conference attendees only via password-protected login

21. Are you an EDUCAUSE member? *This question is required.

• Institutional member
• Corporate member
• Not a member, but we would like to know more about membership