Speakers Bureau - RMJJ

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Speakers Bureau Request Form

If you are interested in the Speaker’s Bureau, fill out the form below and someone will respond with next steps.

Full Name

Request Date

Dates & Timeframe of Engagement

Place of Engagement

Organizations Email

Organizations Phone Number

Type of Request

Keynote Speaker Presentation Workshop Panelist Other

Topic of Request

RMJJ Overview History of Racial Inclusion Implicit Bias Change Nationwide, Statewide, and local data presentations on Disproportionality Racial and Ethnic Disparities in Juvenile Justice School to Prison Pipeline

Members from Requesting Agency:

Are RMJJ Partners Have attended Racial Equity Workshop(s) Currently Participate in Catalyzing Have attended RMJJ Community

Is your organization able to provide an honorarium?

If so, in the amount of:

Would this event be open to members of the public?

Please list RMJJ members who were contacted regarding this matter or who are affiliated with the work of RMJJ (as well as the date contacted):

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