External Speaking Requests For Michelle Mills Clement

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Organization*

Phone*

Email*

Event name*

Event host*

Event type*

Please select one if you are requesting a diversity, equity and inclusion advisor for your organization

If yes, briefly advise any topics you would like covered

Date of presentation*

Time of presentation*

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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?*

Any additional instructions/requests please provide below:*

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