FACES OF HOMELESSNESS SPEAKERS’ BUREAU Request a speaker Name(Required) First Last Email(Required) Event Guidelines and Information We are able to provide virtual or in-person presentations. We ask that in-person audiences are either masked or fully vaccinated against COVID19. Speakers are able to provide: - An introduction to homeless statistics and policy - Moderation of discussions around homelessness - Relate their personal experience losing their home, and if relevant, regaining housing - Answer audience questions, and/or provide informal conversation with audience members Please plan to give each speaker 10-20 minutes to relate their story, adding time if you would like for them to give an overview of homeless stats or policy. These time frames are only recommendations. The Speakers' Bureau has worked with a variety of faith groups, student organizations and social action service-oriented groups with presentations ranging from full high school assemblies to smaller panel presentations. We can be flexible and can adjust our presentation format to fit your group's schedule. Honoraria : Each speaker receives a $100 honorarium for their time and expertise. Program Fee : We ask that groups provide a program administration fee to the National Coalition for the Homeless of $50 per speaker to bring the “Faces of Homelessness Speakers' Bureau to your group. Total costs for engagements: For 1 speakers: $150 For 2 speakers: $300 For 3 speakers: $450 Payment: NCH will send an invoice via email to your group once the request form is received and event is scheduled. We ask that you pay upon receipt of the invoice, in advance of the speaking engagement. Payment via check is preferred, but we also accept cash or credit card charge via our website. Travel: We do request that sponsoring groups cover the cost of travel and lodging for in-person events. Become a Member/Make a Donation : If your organization would like to support the work of the National Coalition for the Homeless, it can do so by becoming a member or by making a donation. More can be found on the NCH website (https://nationalhomeless.org).What is the name of your organization?(Required) Primary Contact Information: Name/Title(Required) Email Address of Primary Contact(Required) Mailing Address(Required) Street Address City State / Province / Region ZIP / Postal Code How many speakers would you like on the panel (recommended: 2-3 speakers)?(Required)Would you like to request a particular speaker or have other specific requests (gender, etc.)? What date is your event?(Required) MM slash DD slash YYYY What time would you like the speakers to arrive?(Required) What virtual platform will you use for the presentation? Please provide any relevant login or access information.(Required)How long do you expect your event to last?(Required) What is the format of the event (keynote, workshop, class, discussion, etc.)?(Required) Please list the cell phone number of a contact who will be managing the event.(Required)Do you have a particular subject focus or audience need (homeless children, housing issues, health care, policy, etc.)? What is your expected attendance?(Required) What is your audience's age range?(Required) What is your audience's level of knowledge on homelessness?(Required) Would you object to our speaker(s) making a request for donations at the end of our presentation?(Required) Yes No Would you like to add an additional donation to the National Coalition for the Homeless? If yes, please enter the amount to be added to your invoice. Other comments/questions?NCH/Group Agreement All honoraria ($100 for each speaker) and the program fee ($50 per speaker) must be included in one check made out to the National Coalition for the Homeless in c/o Speakers' Bureau. See the first section entitled, Event Guidelines and Information, for a cost breakdown. Please fill in the check memo section with: Speakers' Bureau (date of presentation). Once we have received this filled-out Event Info Form, we will send you a confirmation within 5 days of receiving the request. We will also send you an invoice in advance of the event.Consent(Required) The Following organization agrees to pay the National Coalition for the Homeless for honoraria and program fees(Required)Payment should be mailed in advance of the presentation or mailed on the day of the event. The undersigned agrees to reimburse NCH within 30 days of receiving the invoice. In the event that you need to cancel a presentation, please contact NCH (by phone and/or email) at least 48 hours prior to the scheduled time of the event. Full payment will be expected in the case of cancellations made less than 24 hours prior to the scheduled time of the event. By entering your name in the field below, you are effectively providing your signature, indicating your consent to abide by the terms of this agreement.Name(Required) First Last Date(Required) MM slash DD slash YYYY CAPTCHA