Secretary Scheduling Request

Thank you for your interest in having CHHA participate in your meeting or event. In order for us to process your request, please select and complete the form below.

Kindly allow up to two weeks for processing of this request.

Meeting Request

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Name *

Title

Organization *

Email *

Phone *

Meeting Objective

Expected Outcome

Attendees (List their names and titles)

Venue Objective and

Preferred Dates and Times

Preferred Venue

Additional Notes

Submit

Speaking Appearance Request

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Name *

Title

Organization

Phone *

Email *

Event Name

Event Date

Venue Name

Venue Address

Event (include

Event Purpose and Description

Event Objective

Background Information

Event Participants

Event Audience (quantity and background)

Legislators invited or in attendance?

• Yes
• No

Secretary’s Role (include topics and vision for her role)

Secretary's Speaking FormatKeynotePanel DiscussionPresentationVirtualOther

Length of time to speak

Q & A Session?

• Yes
• No

PowerPoint Required?

• Yes
• No

Will there be a prep session?

• Yes
• No

Additional Notes

Submit