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CONTACT INFORMATION
Your Name: Date:
Organization Name (if applicable):
Phone Number: Email Address:
EVENT INFORMATION
Date of Event: Time of Event:
Desired Length of Presentation: Estimated Attendance:
Address of Event:
City: State: ZIP Code:
Topics to be Covered:
Purpose of Event: Sponsors/Hosts of Event:
Other Speakers/Presenters at Event (if applicable):
ANTICIPATED ATTENDEE DEMOGRAPHICS
In your estimation, how familiar are the expected attendees of this event with the Transfer of Public Lands and related topics?
(On a scale of 1-10, with 10 being extremely familiar)
In your estimation, currently how supportive of the Transfer of Public Lands are the expected attendees of this event?
(On a scale of 1-10 with 10 being extremely supportive)
What concerns/questions do you anticipate the attendees of this event will have in regards to the Transfer of Public Lands?
(If you need additional space feel free to attach a separate sheet or email additional concerns to
Shelby@AmericanLandsCouncil.org).
American Lands Council
Presentation RequestPlease note: This form only represents a request for an ALC representative to
attend your event. Do not publicize the attendance of an ALC representative
at your event until you receive written approval and confirmation from ALC.](https://image.slidesharecdn.com/presentationrequestformsendout-141229100204-conversion-gate01/85/Presentation-Request-Form-1-320.jpg)
![[Continue to Next Page]
CONTACT INFORMATION
Your Name: Date:
Organization Name (if applicable):
Phone Number: Email Address:
EVENT INFORMATION
Date of Event: Time of Event:
Desired Length of Presentation: Estimated Attendance:
Address of Event:
City: State: ZIP Code:
Topics to be Covered:
Purpose of Event: Sponsors/Hosts of Event:
Other Speakers/Presenters at Event (if applicable):
ANTICIPATED ATTENDEE DEMOGRAPHICS
In your estimation, how familiar are the expected attendees of this event with the Transfer of Public Lands and related topics?
(On a scale of 1-10, with 10 being extremely familiar)
In your estimation, currently how supportive of the Transfer of Public Lands are the expected attendees of this event?
(On a scale of 1-10 with 10 being extremely supportive)
What concerns/questions do you anticipate the attendees of this event will have in regards to the Transfer of Public Lands?
(If you need additional space feel free to attach a separate sheet or email additional concerns to
Shelby@AmericanLandsCouncil.org).
American Lands Council
Presentation RequestPlease note: This form only represents a request for an ALC representative to
attend your event. Do not publicize the attendance of an ALC representative
at your event until you receive written approval and confirmation from ALC.](https://image.slidesharecdn.com/presentationrequestformsendout-141229100204-conversion-gate01/75/Presentation-Request-Form-1-2048.jpg)
Uploaded byAmerican Lands Council
Presentation Request Form
The document is a presentation request form for the American Lands Council to attend an event, requiring detailed information about the event such as date, topics, and expected attendee demographics. It specifies that the organization requesting the presentation must cover all travel expenses and cannot publicize the attendance until confirmation is received. The form also includes space for signatures to verify the accuracy of the information provided.
Presentation Request Form
- 1. [Continue to NextPage] CONTACT INFORMATION Your Name: Date: Organization Name (if applicable): Phone Number: Email Address: EVENT INFORMATION Date of Event: Time of Event: Desired Length of Presentation: Estimated Attendance: Address of Event: City: State: ZIP Code: Topics to be Covered: Purpose of Event: Sponsors/Hosts of Event: Other Speakers/Presenters at Event (if applicable): ANTICIPATED ATTENDEE DEMOGRAPHICS In your estimation, how familiar are the expected attendees of this event with the Transfer of Public Lands and related topics? (On a scale of 1-10, with 10 being extremely familiar) In your estimation, currently how supportive of the Transfer of Public Lands are the expected attendees of this event? (On a scale of 1-10 with 10 being extremely supportive) What concerns/questions do you anticipate the attendees of this event will have in regards to the Transfer of Public Lands? (If you need additional space feel free to attach a separate sheet or email additional concerns to Shelby@AmericanLandsCouncil.org). American Lands Council Presentation RequestPlease note: This form only represents a request for an ALC representative to attend your event. Do not publicize the attendance of an ALC representative at your event until you receive written approval and confirmation from ALC.
- 2. TRAVEL INFORMATION Airport Closestto Event: Do you/your organization agree to cover all travel expenses of ALC presenter related to the event? **If event is cancelled after travel expenses have already been accrued your organization will still be responsible for covering those expenses with the exception of cancelation by American Lands Council.** SIGNATURES Signing below signifies that the information provided on this form is as accurate as possible. Once this form has been received by the American Lands Council your event will be reviewed, should the event be approved this form will be signed by a representative of American Lands Council and a copy will be returned to you. Signature of applicant: Date: Signature of American Lands Council Representative: Date: Fill out form completely and return to Shelby@AmericanLandsCouncil.org or to 10808 S River Front Parkway, Suite #334 South Jordan, Utah 84095. If you have questions please call Shelby at 801-252-6622.