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Student Speaker Request

About You

Tell us some more about your upcoming event / speaker engagement - we will do our best to find a good fit!

Note: At this time, all college speaking engagements will be requested as virtual engagements. If we have staff near your school, we will do our best to also offer someone in person.
1.School Name(Required.)
2.School Location (City, State)(Required.)
3.Your Name(Required.)
4.Your Email Address(Required.)
5.Your Phone Number(Required.)
6.Briefly describe why you would like to have a speaker from IJM and what topic you would like them to focus on, if any.(Required.)
7.Date and time for the speaking event.
Please include a series of days or weeks that you are hoping will work for the speaker if you do not have a solidified date yet.(Required.)
8.Estimated number of attendees(Required.)
9.What is the call to action for this engagement?(Required.)
10.Is this a faith based/ Christian event?(Required.)
11.Space to share additional details / context around this engagement.
Please include a series of days or weeks that you are hoping will work for the speaker if you do not have a specific response for the question above.
12.Space for additional comments or questions
From all of us at IJM, thank you again!!
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