The Missouri History Speakers’ Bureau - Speakers - The State Historical Society of Missouri

Please read the following information carefully and complete the on-line form below.

This service is provided to Missouri-based, adult, not-for-profit organizations, including service and religious groups.
Due to the popularity of the Missouri History Speakers’ Bureau, funds for Congressional District 4 have already been allocated for the year.
Funds for the Speakers’ Bureau are allocated by congressional district and all funds for Congressional District 4 have been allocated for fiscal year 2009; fiscal year 2009 has begun and runs through June 30, 2009.

Regrettably, we will be unable to provide speakers for organizations within District 4 until further notice. We are seeking additional funds for District 4 and would welcome any gifts for the Missouri History Speakers’ Bureau. Gifts may be designated for use within a specific district.
Speakers will only be available to organizations hosting an event with no admission charge. (An exception would be an event held in conjunction with a meal for which there is a charge.)
Preference will be given to groups that open their event to the public.
Please allow 30 days for arrangements to be completed.
Due to limited funds for the reimbursement of speakers' travel expenses, preference will be given to organizations located within 100 miles of the requested speaker's residence.
Groups can request a maximum of 2 speakers per calendar year from the Speakers' Bureau. There is no charge to the host institutions, but the availability of presentations is limited.
The State Historical Society does not provide equipment for speakers' presentations.
“Request a speaker” application forms for engagements in 2009 will not be accepted before August 1, 2008.
The Society invites organizations to make donations to the Speakers' Bureau to help maximize the number of presentations that can be sponsored and to help the Society provide this service at no cost to the host institutions. Speakers will ask audience members to make donations as well. The speaker will also present an overview of The State Historical Society of Missouri and the Western Historical Manuscript Collection and will make available some promotional literature.

If you would rather fax or mail your request you can print a request form:

Fields marked with an * are required.

Name of the requesting organization*

Address of the requesting organization*

Street*

City*
State*	Missouri
Zip*
E-mail address:*
Web site:
Phone:*

Is the organization an adult not-for-profit group?*
Yes No
Will the event be open to the public without an admission charge?*
Yes No
Which presentation do you wish to request?*
- 1st choice*
- Alternate choice*
Date of the event*
(must be at least 30 days from now)
- 1st choice*
- Alternate date choice*
Time of the event*
Groups can request a maximum of two speakers per calendar year from the Speakers' Bureau. If you would like to request a second presentation at this time, you may. If not, skip to item number 11.

Which presentation do you wish to request?*
- 1st choice*
- Alternate choice*
Date of the event* (must be at least 30 days from now)
- 1st choice*
- Alternate date choice*
Time of the event*

Address of the event

Full Street Address*

City*
State*	Missouri
Zip*
Emergency phone:*	(In case the speaker gets lost or has trouble on the road)

What type of facility is this?* Private Residence Other
If "Other" please identify:

How many attendees are you expecting, or what is the average attendance for events given by your organization?*
Does your audience have any specific age group or other characteristic that may be influential to the event?*
Yes No
If yes, explain
In what type of room will the event take place (meeting room, auditorium, classroom, public hall, etc.)?
Any helpful information for the speaker when he or she arrives: room number, department name or special directions?
Is there any other information regarding the setting of the event that may be helpful to the speaker?
Yes No
If yes, explain

In order to monitor and improve the quality of the service provided, we require a program evaluation. An event confirmation packet including "Program Evaluation Forms" will be mailed to the address of the requesting organization. Who will distribute, collect and return the forms to the Society?

First Name*
Last Name*
Street*
City*
State*
Zip*
Phone:*
E-mail address:*
Comments?

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Have a research question? Please see http://shs.umsystem.edu/research/requestform.shtml
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Request a Speaker

The Missouri History Speakers Bureau

Presented by

The State Historical Society of Missouri

Request a Speaker

Topics | Speakers by Name | Speakers by Region

Upcoming Presentations | Request a Speaker

Please read the following information carefully and complete the on-line form below.

Fields marked with an * are required.

Name of the requesting organization*

Address of the requesting organization*

Is the organization an adult not-for-profit group?*

Will the event be open to the public without an admission charge?*

Which presentation do you wish to request?*

Date of the event*

Time of the event*

Groups can request a maximum of two speakers per calendar year from the Speakers' Bureau. If you would like to request a second presentation at this time, you may. If not, skip to item number 11.

Which presentation do you wish to request?*

Date of the event* (must be at least 30 days from now)

Time of the event*

Address of the event

How many attendees are you expecting, or what is the average attendance for events given by your organization?*

Does your audience have any specific age group or other characteristic that may be influential to the event?*

In what type of room will the event take place (meeting room, auditorium, classroom, public hall, etc.)?

Any helpful information for the speaker when he or she arrives: room number, department name or special directions?

Is there any other information regarding the setting of the event that may be helpful to the speaker?