Speaker Request Form

Sponsor Church/Organization Information

• Church/Organization
• Contact Name
• Email
• Phone
• Street Address
• City
• State
• Zip

Event Information

• Presenter Requested
  Select all that apply.
  • Any Available
  • Kara Powell
  • Brad Griffin
  • Jake Mulder
  • Steven Argue
  • Irene Cho
  • Marcos Canales
  • Virginia Ward
  • Matthew Deprez
  • Jen A. Guerra Aldana
  • Jeff Mattesich
  • Mike Park
  • Chuck Hunt
  • April Diaz
  • Tim Galleher
  • Justin B. Fung
  • Cheryl Crawford
  • Keegan Lenker
  • David Fraze
  • Megan Hutchinson
  • Jim Candy
  • Santes Beatty
• Speaking Topic Sticky Faith or Growing With Growing Young Technology Other
• Event Type In-person speaking/training Webinar Podcast Recorded Interview Other
• Event Date
• Event Time
• Event Location
• Event Address
• Event City
• Event State
• Event Zip
• Location Phone
• Closest Airport
• Target Audience
• Est. Attendees
• Event Description In a few sentences, please describe the event and how you hope we can serve at your event. Please list the number of sessions expected, how long you expect the speaker to share, and any other pertinent information. If you know the schedule for the day(s), please include that also. Someone will be in touch to discuss more specifics as needed.
• Is this an annual or first-time event? Annual
  First-Time
• If annual, who spoke last year?
• I'm interested in selling or giving away your products at my event and would like more information on bulk discounts. Yes
  No
• Additional Comments or Questions

Compensation

Please indicate your available honorarium amount for the speaker, designated in U.S. dollars. Note that speakers are often willing to work with events on honorarium amounts, but knowing an estimate up front helps our speakers make decisions about time away from work, family and ministry to invest in ministry to your organization. Note that an honorarium is separate from and in addition to travel expenses. If you are working with a budget limit inclusive of travel and honorarium, please indicate that accordingly.

• Honorarium

Travel Expenses

Please note our travel policy:

If traveling by air, the FYI speaker will book and ticket their own round-trip flights. FYI will submit to the sponsoring organization an invoice for the airfare costs, which will be reimbursed to FYI or the individual speaker.

The sponsoring organization agrees to provide ground transportation for the FYI speaker to and from the airport or train station, hotel, and the location of the event. If the FYI speaker is traveling by auto, their auto expenses (and any associated tolls) will be paid by the sponsoring organization at the current U.S. mileage rate. If the FYI speaker requires travel by any other means (rental car, train, bus, taxi, etc.) the sponsoring organization will provide reimbursement for those as well.

Accommodations and Meals

The sponsoring organization will provide and/or pay for lodging and meals for the FYI speaker during the event. These may be provided directly by the sponsoring organization or reimbursed upon notification of such expenses. Unless otherwise agreed upon, lodging will consist of a clean non-smoking hotel room, single occupancy.

Deposit, Cancellation and Refund Policy

Upon booking, the sponsoring organization will be asked to submit a deposit of $250. Deposit is not refundable if sponsoring organization must cancel the engagement for any reason.*

Cancellation of this event by sponsoring organization less than 90 days from date of engagement will result in the loss of deposit and an additional cancellation fee of $250. If sponsoring organization cancels event, the sponsoring organization must also reimburse FYI or speaker for any travel (i.e. purchased airline tickets, etc.) and other expenses that FYI or speaker has already incurred for the particular event.

*Excludes cancellations due to inclement weather, illness or family emergencies of FYI speaker, acts of God, government regulation, disaster, strikes, civil disorder, or breakdown in travel services.

Audio-Visual

The sponsoring organization agrees to provide any AV equipment required to perform the requested service.

IMPORTANT TECHNICAL REQUIREMENTS: FYI SPEAKERS NEED TO BE ABLE TO PLACE AND USE THEIR PRESENTATION LAPTOP AT THEIR SIDE THROUGHOUT THE SEMINAR UNLESS OTHER ARRANGEMENTS ARE MADE IN ADVANCE. PLEASE HAVE YOUR TECHNICAL STAFF MAKE THE NECESSARY ARRANGEMENTS, INCLUDING HAVING A VGA CABLE AND SOUND CORDS AT THE PODIUM.

Recording of the FYI presentation, video or audio, is generally prohibited solely for reasons related to liability issues.

Please contact fyi@fuller.edu with any additional questions or information after this form has been submitted.

Have you read and do you agree to the details above related to travel, recording, and audio-visual needs?
I have read and agree