Host an Event

Sponsoring Organization (required):

Event Coordinator (required):

Phone (required):

Email (required): 

Event location information

Location name:
Street address:

City: State: Zip:

Program requested:

First choice:     Presenter name:

Second choice: Presenter name:

Date requested

Preferred date: time:

Alternate date: time:

How will you publicize this program to your organization and/or community?

Organizational newsletter, emails, or standard mailingPress release to local print and broadcast mediaPosters, flyers, bookmarks, other handouts

If the presenter travels more than 50 miles each way, they may request overnight lodging. In that event, the local sponsoring organization is responsible for arranging a home stay or arranging and paying for commercial lodging. Is your organization able to accept this responsibility and make arrangements with CSWS? —Please choose an option—YesNo

In the event that your organization hosts a road scholar, the following conditions apply:

   * Formally acknowledge CSWS sponsorship of this program at the event and on all printed materials advertising or reporting on the event.?

   * Confirm event date, time, location, travel directions, and housing arrangements 15 days in advance of the event.?

   * Immediately notify CSWS of any changes affecting this program.

Do you agree? —Please choose an option—YesNo

Is there anything else you would like share about your request?

What is the last name of our 44th and current U.S. president (this is to avoid spam; required):

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