U.S. Embassy Speakers Program Form

  • Information about the Event

    i.e. event a speaker is requested for
  • Requests should be made well in advance; please give alternate dates.
  • Lecture, conference, press event, debate, etc.
  • Students, academics, journalists, local authorities, etc.
  • Size of audience
  • Average age of the audience.
  • Suggested or likely discussion topics.
  • Information about the applicant - Requesting institution

  • If applicable
  • Information about the applicant - Contact person

    Contact person who will be present at the event.