Speaker Request 


Would you like a Tri-C representative to speak to your high school group?  Let us know and we'll contact you to make arrangements!  Please allow at least two weeks notice for speaker requests.

 

* indicates a required field
Event name: *
Desired event date: *
Alternative event date: *
Time of event: *
Location of event: *
Description of event: *
Contact person at the event: *
Best phone number to reach event contact immediately before or during the event: *
Who will be attending the event (parents of high school seniors, juniors interested in PSEOP, etc.)? *
How many people are expected to attend: *
What topic would you like us to cover? *
First name: *
Last name: *
Position title: *
E-mail address:
Phone: *
High school: *
High school street address: *
City *
State *
Zip *