External Speaking Requests For Michelle Mills Clement External Speaker Requests Name* First Last Organization*Phone*Email* Event name*Event host*Event type*Industry Partner EventOffice MeetingConferenceWebnar PanelPodcastKeynotePlease select one if you are requesting a diversity, equity and inclusion advisor for your organization Yes No If yes, briefly advise any topics you would like coveredDate of presentation* Date Format: MM slash DD slash YYYY Time of presentation* : HH MM AM PM Time zone*Length of presentation*Audience size*Tell us about your audience*Requested topic*Visual needs - will a screen be available to share a powerpoint?*Will this presentation be made via webinar?*YesNoAny additional instructions/requests please provide below:*