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Request a Speaker

Requesting a CDC speaker is very easy:

  1. Please review the CDC Speakers Bureau Privacy Policy to understand how we use the information gathered to completed speakers requests. If you have any questions or concerns, please contact speakersbureau@cdc.gov.
  2. Simply complete the on-line speaker request form and press the submit button. A Speakers Bureau representative will review your request and contact you within 2-3 business days. If you have not received a call within 5 days, please contact the Speakers Bureau at 404-498-0142 or speakersbureau@cdc.gov.
  3. For a list of topics, take a moment to visit Topics at a Glance or see CDC′s home page at www.cdc.gov.
  4. Your speaker′s request will take 6-8 weeks to process, so please plan your event accordingly.

Speaker Request Form

Please complete the form below with as much detail as possible.

Presentation Information


Type of Organization

If other, please describe in the notes section

Topic of Presentation

If other, please describe in the notes section

Audience and Key Participants

If other, please describe in the notes section


Travel Expenses Covered:

Host Organization Contact Information

Name and Brief Description of Host Organization:
(input limit 500 characters)

Host Organization Web Address:
(input limit 300 characters)

Host Contact Name:

Host Contact Street Address 1:

Host Contact Street Address 2:

Host Contact City
State/Territory: Zip:

Host Contact Country:


Email Address:   Daytime Phone:


Expected Media Coverage:

Logistical Information


Event Title: (input limit 150 characters)

Event Date and Time:
PM
AM
Pick a date
Objective of Event/Conference:
(input limit 500 characters)


(If Event Location is the same as Host Location, leave blank and skip to Length of Requested Presentation)

Event Location (building name):
(input limit 150 characters)

Event Street Address 1:

Event Street Address 2:

Event City
 State/Territory:  Zip:

Event Country:

Type of Presentation:
Length of Requested Presentation:

Audiovisual Capabilities:

Special Notes/Instructions:
(input limit 500 characters)

Agenda

Please copy and paste agenda into space below:
(input limit 3700 characters)


 

CDC Speakers Bureau Privacy Policy

 
Contact Us:
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  • Contact CDC-INFO
  • Page last reviewed: August 7, 2012
  • Page last updated: August 7, 2012
  • Content source:Office of the Associate Director for Communication
  • Notice: Linking to a non-federal site does not constitute an endorsement by HHS, CDC or any of its employees of the sponsors or the information and products presented on the site.
USA.gov: The U.S. Government's Official Web PortalDepartment of Health and Human Services
Centers for Disease Control and Prevention   1600 Clifton Rd. Atlanta, GA 30333, USA
800-CDC-INFO (800-232-4636) TTY: (888) 232-6348 - Contact CDC–INFO
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