Request a speaker from The College Place

Thank you for your interest in The College Place. To request a speaker for your event, please complete the form below and a member of our staff will get back to you.

*Required fields.

1. Choose a location:*
The College Place, Northern Virginia (Manassas, VA)
The College Place, Richmond (Richmond, VA)
The College Place, Oregon (Bend, OR)
The College Place, Connecticut (Bridgeport, CT)
The College Place, Northern California (Berkeley, CA)

2. Please provide contact information for the group requesting a speaker:

Contact name*

Phone number*

Email*

City/town*

Organization*

Address*

3. Best way to reach the contact person:

Phone

Email*

4. Proposed date and time of the presentation:

Preferred*

Alternate

5. What is the purpose of the presentation?*

6. Please select one of the following topics:

Other:

7. Please give us details about the audience, including approximate grade or age group, total number expected, and whether adult teachers will be present (if it is a school setting). Minimum audience size is 15 participants.*

8. What media equipment (e.g., DVD player, AV equipment, microphone/speakers) is available at the site?*

9. Please provide any additional event details, such as directions, when the speaker should arrive, where to report upon arrival, etc.*

There are errors in your form, see details above!

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George Washington, President
212.555.1234
100 Cherry Blossom Drive
Washington DC 10010

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