Request a Speaker from SCCADVASA

Name of Organization:*

Contact Name:

Phone Number:*

Email Address:*

Data and Time of the Event:

Time the Speaker is Needed:

Event Address:

Type of Event*
(luncheon, meeting, training, panel discussion, conference, classroom setting, etc.)

Topic(s) of Interest:*

Sexual AssaultDomestic ViolenceHuman TraffickingMembers OrganizationsLGBTQ Training
Legal Issues

What equipment will be needed by SCCADVASA (laptop, projector, personal bio, etc.):*

How Did You Hear About Us?*