Islamic Speakers Bureau of Atlanta - Request a Speaker Form

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Request a Speaker

The following form aids us in scheduling and helps us determine the appropriate speaker for your audience. Please fill out as much information as possible. Fields marked with * are required.

ISB Atlanta appreciates a minimum of a 10 working days advance notice for speaker requests.

Requestor Name*	Invalid Input
Organization Name*	Invalid Input
Address*	Invalid Input
	Invalid Input
City*	Invalid Input
State*	Invalid Input
Zip*	Invalid Input
Phone*	Invalid Input
Email	Invalid Input
Best Time to Call	Invalid Input
Presentation Requested*	Invalid Input
If Other, please specify	Invalid Input
Desired Outcome	Invalid Input
Duration	Invalid Input
Size of Audience (per class if students)	Invalid Input
Optional Dates for Presentation	Invalid Input
First Presentation	to Invalid Input Invalid Input
Second Presentation	to Invalid Input Invalid Input
Third Presentation	to Invalid Input Invalid Input
Fourth Presentation	to Invalid Input Invalid Input
Fifth Presentation	to Invalid Input Invalid Input
Sixth Presentation	to Invalid Input Invalid Input
Seventh Presentation	to Invalid Input Invalid Input
How did you hear about the ISB? (please be specific)*	Required
Additional Comments	Invalid Input
Please Respond By This Date	Invalid Input

Testimonials

As a social studies teacher, I know the value of understanding the diverse religions of the world and how they relate to history and current events. The Islam 101 presentation brought to my students a vital understanding of Islam and the customs of Muslims around the world. Your bureau provides an invaluable tool for teachers in their endeavor to cover this topic with their students.

- Middle School Social Studies Teacher

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