Request a Speaker – Stuart Follow-up

Your Name*

First Last

Your Phone #*

Your Email*

Date of presentation*

Arrival Time Requested

:

Event Address

Street Address City State ZIP Code

Is the building entrance and location of the event wheelchair accessible?*

Yes
No

Who will greet/guide Stuart and where will they meet?

Please provide directions to accessible parking lot and accessible entrance:

Please provide a map of event space indicating accessible parking and entrance:

Max. file size: 80 MB.

Will Stuart be speaking/presenting?*

Yes
No

Is there a stage?*

Yes
No

Will there be a ramp to make the stage accessible?*

Yes
No

Will you provide a table or podium that can be lowered to wheelchair height?*

Yes
No

Will a microphone be provided?*

Yes
No

Is there a microphone that can be lowered to 2.5 feet, or is it removable?*

Yes
No

Will ACT need to provide a PowerPoint?*

Yes
No

Will a PowerPoint be presented by others?*

Yes
No

Is closed captioning enabled on the PowerPoint?*

Yes
No

Will there be a Q&A session with the audience?*

Yes
No

Will the audience or room be large enough that a microphone will be needed (provided) for the audience to speak into?*

Yes
No

Phone

This field is for validation purposes and should be left unchanged.

Request a Speaker – Stuart Follow-up

The Ability Center

Bryan Satellite Office

Phone: 419-885-5733
Fax: 419-882-4813

Translate This Site

The Ability Center

Request a Speaker – Stuart Follow-up

The Ability Center

Bryan Satellite Office

Phone: 419-885-5733 Fax: 419-882-4813

Translate This Site

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The Ability Center

Phone: 419-885-5733
Fax: 419-882-4813