Request a Speaker

Request a Speaker

The Governor’s Faith and Community Initiative.

All requests will go to Erik Dellenback, the Governor’s Liaison for Faith and Community. The Initiative will make its best effort to send Erik or a representative of the Governor’s Faith and Community Initiative.

Have a faith or community event? We'd love to be there!

Your contact information

Your name*

Your e-mail address*

Your phone number*

Phone

Will you be the primary point of contact?

Point of Contact Name

Point of Contact E-mail

Point of Contact Phone

Organization Information

Organization Name*

What is the hosting organizations name?

Organization Description*

Website Link

Who would you like to invite*

Select

Event Information

Event Name*

Event Address*

Event Description*

Event Date*

Event Time and Duration*

Indoor or Outdoor event*

Select

Panel or Open Discussion*

Select or enter value

Dress Code*

Attendance

Inititative Office Topic*

Select or enter value

Agenda

Please submit the event's proposed agenda here or attach it below.

Agenda Upload

Drag and drop files here or

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