CNN Speakers Bureau

Who are you?

First Name

Last Name

Phone

Organization

Website

Organization Type

Organization Type Other

Organization Industry

Organization Industry Other

Organization Details

Lobbying or Advocacy Work?

Provide lobbying or advocacy work detail

How is your organization funded?

Organization Funding Type

Organization Funding Type Other

Event

Talent

If you're unable to find requested talent, use "Other Talent" below

Other Talent

NoYes

Other Talent Name

Role

Event Date

Start Time

End Time

Response Deadline Date

Event Name

Event Description

Topic

Panelists

Moderator

Confirmed/Past Honorees

Is the event open to the press?

Is this a fundraising event?

Who is the recipient of the funds?

Speaker is expected to make fundraising requests?

Publication/Recording

Detail by who and in what platform

Is there an agreement required?

Agreement Details

Have any CNN speakers previously participated?

Previous CNN participation Details

Venue

Venue Name (Location of Event)

Venue City/State

Region

Audience

Funding

Sponsors

Organization will cover expenses

NoYes

Expenses Paid

Honorarium

Honorarium Range

Specify Exact Honorarium Amount

Honorarium Funding Source

Event Funding Source – e.g. ticket sales, sponsors, government

AttachmentYou can upload a maximum of 1 file, up to 90MB.

Generate a new image Play the audio code

Enter the code from the image

Who are you?

Organization

Event

Venue

Funding

You’re over the file size limit×Close

File upload limit reached×Close

Unsupported file formats×Close

You’re over the file size limit

File upload limit reached

Unsupported file formats