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Request a Hip Hop Caucus Speaker

Please complete this form and send to our scheduling team by clicking "Submit."

The purpose of this form is so that we may review all pertinent details for meeting and speaking requests. Having all this info allows us to get back to you in a much more expedient amount of time.

NOTE: If this is a media request, please send an email to media@hiphopcaucus.org.

First Name

Last Name

Name of Organization

Phone

Meeting/Event Name

Meeting/Event Date

Meeting/Event Time

Event Page URL (optional)

Which Hip Hop Caucus team member are you requesting?

What topics would you like us to cover in our participation?

Is this a live or pre-recorded event?

Live Pre-recorded

Is this a physical (in-person) or virtual event?

Physical Virtual

If your event is physical, please enter the full address here.

If your event is physical, please indicate how flight, hotel, and ground transport will be handled.

Hip Hop Caucus is expected to cover all travel and accommodation expenses. Our organization will cover all travel accommodations.

Estimated Attendees/Concurrent Views

10-50 51-100 101-250 251-1000 1000+

Honorarium Amount (if applicable)

Speech/Video Length Requirements

What are you envisioning as a desired outcome of our participation?

Please provide any additional background information you have for the event (other speakers, etc.).

Hip Hop Caucus is a national, non-profit and non-partisan organization that connects the Hip Hop community to the civic process to build power and create positive change.

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