AAPA Speaker Request Form

Please submit this form to request a visit by an AAPA Leader. Requests must be submitted at least 12 weeks in advance of the desired event date to ensure time for appropriate review and planning. The form is designed to capture as much information as possible to inform the decision-making process; however, you may be contacted for additional information. A staff member will reply to your request as soon as possible. 

Please contact governance@aapa.org with questions or if you require assistance. Thank you.

Basic Information

Presentation Information

Preferred Presenter (Speaker is determined based on availability and topic). *
Please describe the opportunity for which you are seeking a leader and provide as much detail as you have at this time.

Additional Comments/Questions

                                                                 Thank you for your request. 

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