ACLU-IN Speaker Request Form

To request a speaking engagement from ACLU of Indiana staff, please fill out the form below and a member of our team will get back to you as soon as possible. Please note that due to a high volume of requests for ACLU of Indiana staff to speak at events, we are unfortunately unable to accommodate every request that we receive. Thank you for thinking of us in planning your event.

For any additional questions, please email info@aclu-in.org.

* indicates required field

Point of Contact Information

First Name: *

Last Name: *

Pronouns:

E-mail: *

Organization: *

Phone Number *

Additional Comments:

Event Information

Title of Event:

Date:

Time:

Location:

Event Co-Sponsors:

Other invited speakers:

Describe the intended audience:

Estimated audience size:

Requested issue areas/subject:

Leave this field blank

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Please complete the CAPTCHA challenge. *

Enter the characters shown in the image.