SOUTHERN CALIFORNIA GROTTO "SPEAKERS BUREAU" APPLICATION
AN AFFILIATE OF THE NATIONAL SPELEOLOGICAL SOCIETY

Filling out this form does not commit you to any presentations but only indicates your
willingness to receive invitations to present to the type of group indicated. Most
presentations will not include any sort of payment but you are free to independently
negotiate a stipend or fee. If you are only interested in "paid gigs" and consider yourself a professional, this speakers bureau is probably not an appropriate venue to solicit appearances.

Your name ________________________________________________________

E-mail ___________________________________________________________

Phone ___________________________(day) _________________________(evenings)

Title of presentation _________________________________________________

Length(s) of presentation ______________________________________________

Format of presentation (slides, PowerPoint, video, fireside chat, live demonstration, etc.)

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Intended audience (adult, high school, school children, Scouts, mixed ages, church groups)

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Geographic location(s) willing to accommodate ________________________________

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Experience with giving presentations (please list a few examples of previous experience

with similar audiences) ___________________________________________________

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