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Workshop/Speaker Request Form

Workshop/Speaker Request Form

Please share as much information as possible about your workshop or speaker request. Priority will be given to requests made at least 2 weeks prior to the ideal workshop date and time suggested by the member. Email Angeline@NCCounts.org with questions about this form. The majority of our workshops can be offered in English or Spanish, but we may be able to accommodate additional languages via simultaneous interpretation.

Workshop/Speaker Request Form
Full Name
Full Name
First
Last
Workshop/Speaker Topic
Language
Format

Become a Member
Attend an Event
Coalition Members