Use this form to submit a presentation request to the Program on Climate Change. Required fields are marked with an asterisk (*).

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PCC Presentation Request

Requested By
*Name:
Organization:
  
Contact Info
Phone:
*Email:

Send email confirmation

Event Information:
*Event Title:
Event Website:
*Event Location:
Travel Covered?:
Yes
No
Partially
To be determined
N/A (e.g.: talk takes place in Seattle area)

PCC's travel budget is limited. Reimbursement for travel is helpful but not required and has minimal influence in determining which requests are met.

*Event Description:
Event Date
(use m/d/y):
Specific date:
Between these dates: and
To be determined
Need Speaker Confirmed By:
Presentation Information
*Requested Presentation Topics:
*Presentation Start Time:
To be determined:
morning
afternoon
evening
Length of Talk
(including Q&A):
Technical Level:
*Audience Type
(check all that apply)
Resource managers (public/private/tribal) Elected officials
General public Non-governmental orgs.
Scientists/researchers Teachers
Consultants Business/Industry
Unknown Media
Students
Other:
Estimated Audience Size:
Requested Speaker: Need two or more speakers
A/V Equipment Available
(check any that apply)
To be determined Projector (with necessary cables)
Laptop with PowerPoint Laser Pointer
Other information regarding this request:
How did you hear about PCC?: