Event Speaker Request Form

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Please use this form if you are requesting someone from Sturgeon County to attend and speak at your event. This would include, but not limited to, having a member of Council give greetings, grand opening for a new business or facility, or having a representative of Sturgeon County speak at a conference or other event.

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Basic Information

Name of Organization(Required)

Website

Name of Primary Contact(Required)

Phone(Required)

Email(Required)

Name of ONSITE Contact(Required)

Phone(Required)

Email(Required)

Tell us about your organization!(Required)

Invitation Information

Which representative from Sturgeon County are you inviting to speak at the event?(Required)

Mayor Alanna Hnatiw

Councilor Dan Derouin, Division 1

Councilor Kristin Toms, Division 2

Councilor Matthew McLennan, Division 3,

Councilor Neal Comeau, Division 4

Councilor Deanna Stang, Division 5

Councilor Jason Berry, Division 6

Other

If "other" please request by name or title

What is their role? (guest, speaker, presenter, host, etc.)(Required)

Event Information

Name of event(Required)

Date of event(Required)

DD slash MM slash YYYY

Event start time(Required)

Hours

Minutes

AM/PM

Event end time(Required)

Hours

Minutes

AM/PM

Event location (full address)(Required)

Indoor or outdoor(Required)

Indoor

Outdoor

Both/Multiple Venues

Event format(Required)

In Person

Virtual

Hybrid

If hybrid or virtual: What platform is being used for the event?

For example: Zoom, Teams, etc.

Event type (e.g. dinner, conference, ribbon cutting, educational, fundraising, awards ceremony, etc.)(Required)

Event objective(Required)

Provide a brief description of the event, including the theme.(Required)

Please provide the important components and sequence of events.(Required)

What should the Sturgeon County representative wear to fit in with the crowd?

Black Tie

Business

Business Casual

If the dress code is different than the ones listed above, please enter it here.

Does the invite allow for a guest or plus one?(Required)

Yes

What are the seating arrangements? Is there anything specific the Sturgeon County representative should be aware of regarding seating?(Required)

Is there assigned seating, is there assigned tables but not seats, etc.

If a Sturgeon County representative drives to this event, is there assigned parking available? Please share any parking-related information.(Required)

If no, please list closest parking areas and if they are free or paid.

Is this a private or public event? If it is private, is there a media embargo and what is that date?(Required)

Audience Information

How many guests are expected?(Required)

Will there be dignitaries present?(Required)

Yes

List the names of ALL dignitaries attending.

Who will the Sturgeon County representative be seated with? Is there anything they should be aware of?(Required)

Agenda Information

Please upload or provide a link to full meeting agenda.

Agenda Upload

Drop files here or

Accepted file types: jpg, png, pdf, docx, doc, txt, Max. file size: 512 MB.

Event Agenda Link

Speaking Information

Who will introduce the speaker? Do you need a biography for the introduction and/or any event related materials?(Required)

Describe the speaking opportunity (e.g. greetings, panel discussion, keynote speaker). If a panel, please identify the other speakers.(Required)

What is the main topic or key information that should be included in the speaking notes? What is the objective for the presentation?(Required)

How much time is allocated for the speaking opportunity?(Required)

Will anyone else be speaking? (If yes, please include names and titles of all speakers).(Required)

Will there be a Q&A session?(Required)

Yes

If Yes: Are questions submitted in advance or live?

In Advance

Live

Will the event include a Land Acknowledgement? If so, who will be giving the Land Acknowledgement?(Required)

Is there anything else we should know about the speaking opportunity?

Audio-Visual Information

Will there be a podium, lecturn, or other stand? (for notes)(Required)

Yes

Will there be a microphone?(Required)

Yes

Will there be a screen, monitor, or projector?(Required)

Yes

Do you require a presentation (e.g. video, PowerPoint), or is there a opportunity to include one?(Required)

Yes

Optional

If Yes: How would you like the presentation to be shared? (e.g. flash drive, upload to FTTP site, etc.)

Photo, Media, and Social Media Information

If photos or videos are being taken at this event, please include information about the photo and video consent procedures in place for the event in the final two questions of this form.

Have you invited media to attend the event? If yes, which news outlets have been invited?(Required)

Will the media be invited to ask questions, or will there be a media scrum before or after the event?(Required)

Enter your organizations social media account links and page names.(Required)

When possible, we would love to share event information on our social media. If you would like your event to be potentially promoted in our socials please list the account names, along with any special hashtags.

If you do not intend for this event to be shared on socials, please also let us know here.

Will photos be taken during the event? If so, will they be shared?(Required)

Do we have permission to take our own photos at the event, either on our phones or using Sturgeon County cameras to share on our social media? Are there any sensitivities with photos, either privacy or cultural or religious sensitivities?(Required)

Submission

Anything else you would like to add?