Request a Speaker | Cape Cod Climate Change Collaborative

Thank you for your interest in engaging a Cape Cod Climate Change Collaborative representative to speak at your event. Please fill out the form with the details of your request and we will be in touch as soon as possible.

The Invisible Impacts of Climate Change—Physical, Psychological, Environmental Justice, Ecosystem, & Economic

Have you already spoken with a Climate Collaborative representative about speaking at your event?(Required)

Yes

What is the name of the representative you spoke with?

Please check all topics you’d like our representative to cover:(Required)

About Climate Change

Impacts on Cape Cod & The Islands

How You Can Combat Climate Change

How Your Business or Organization Can Combat Climate Change

About the Cape Cod Climate Change Collaborative: History, Mission & Resources

What is the date of your event?(Required)

MM slash DD slash YYYY

Is there flexibility in your event date?(Required)

Yes

What is the START time of your event?(Required)

Hours

Minutes

AM/PM AM/PM

What is the END time of your event?(Required)

Hours

Minutes

AM/PM AM/PM

Who is hosting this event?(Required)

(Name of your organization)

Is the event live or virtual?(Required)

Live

Virtual

What is the event location?(Required)

Venue Name Address City State / Province / Region ZIP / Postal Code

What is the title of your event?(Required)

Please provide a brief description of the event.(Required)

Please describe your audience and its familiarity with climate issues.(Required)

What role would you like the Climate Collaborative representative to play?

Principal speaker

Panel member

One of a series of speakers

Other

Are you inviting speakers from other organizations?

Yes

Please describe the other speakers and their roles.(Required)

How long is the Climate Collaborative presentation to last?(Required)

(In minutes)

Will you provide AV capabilities at the event?(Required)

(Computer/Projector/Screen/Audio)

Yes

Please let us know how to reach you!

First Name(Required)

Last Name(Required)

Email Address(Required)

Phone Number(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

How did you hear about the Climate Collaborative?

Word of Mouth

Event

Website

News Article

Social Media

Would you like to receive the Climate Collaborative's newsletter?(Required)

Yes

Already a subscriber

Questions? Please submit here:

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Request a Speaker for Your Event

Please let us know how to reach you!