Silky Shah Appearance Request Form

Name of event/appearance *

What type of event/appearance is this? *

Panel
Keynote
Radio/podcast
Workshop/training
Book talk
Other (please describe below)

Will Silky's participation be in person or virtual? *

In person
Virtual

If in person, where?

If in person, is there funding to cover travel and lodging?

If the event is already scheduled, when is the event?

If the event isn't scheduled yet, which date(s) are you considering?

Are you able to offer an honorarium?

Yes
No

Please tell us any additional details about the event/appearance.

If Silky is unable to attend, would you like us to suggest other DWN staff or members who can speak to the proposed topic? *

Yes
No

Who should we contact in response to this inquiry?

First Name *

Last Name *

Email *

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