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Speaker/Event Request Form

Please complete the form below:

California Department of Housing and Community Development (HCD) staff regularly present at conferences, groundbreakings and ribbon cuttings/grand openings, trainings and webinars and other events throughout California.

To request an HCD speaker, please complete the form below.

Please note: A minimum of 30 days advanced notice is preferred. However, requests with a shorter timeframe will be considered.

After you submit your form:

Within two weeks, an HCD representative will contact you using the contact information provided in your form.

To check the status of your request, please call (916) 263-7403 (between the hours of 8:30 a.m. to 5:00 p.m.).

Your Organization

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* 1. Your Organization

Type of Organization

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* 2. Type of Organization

Contact Name

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* 3. Contact Name

Contact E-mail

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* 4. Contact E-mail

Contact Phone

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* 5. Contact Phone

Organization's Website

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* 6. Organization's Website

Date of Event

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* 7. Date of Event

Name of Event

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* 8. Name of Event

Time of Event

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* 9. Time of Event

Theme/Purpose of Event

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* 10. Theme/Purpose of Event

Speaking Start Time

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* 11. Speaking Start Time

Requested HCD Speaker

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* 12. Requested HCD Speaker

HCD Director

Housing Policy Deputy

Codes and Standards Deputy

Division of Financial Assistance Deputy

Legislative Deputy

Legal Affairs Deputy

Other (please specify)

Address of Event

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* 13. Address of Event

Proposed Topic

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* 14. Proposed Topic

Length of Speaker's Presentation

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* 15. Length of Speaker's Presentation

Presentation Format (panel, keynote, roundtable, etc.)

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* 16. Presentation Format (panel, keynote, roundtable, etc.)

Size of Audience

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* 17. Size of Audience

Audience Composition (lenders, developers, academics, elected leaders, etc.)

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* 18. Audience Composition (lenders, developers, academics, elected leaders, etc.)

Please list the other speakers invited to this event, as well as their affiliation and note if they are confirmed.

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* 19. Please list the other speakers invited to this event, as well as their affiliation and note if they are confirmed.

Is media expected at this event?

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* 20. Is media expected at this event?

Yes

Unsure

Event website (if applicable)

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* 21. Event website (if applicable)

100% of survey complete.