Request an ASQ Speaker

Looking for a speaker for your next meeting or event? The ASQ Executive Council — which includes the chair, chair-elect, and treasurer — may be able to speak at your event on various subjects such as the ASQ Futures Study and innovation, to name a few. In addition, we also have other member leader/subject matter experts available who can speak on specific topics. There is not a fee or honorarium for speaking requests, but we do ask that you cover travel and lodging expenses for the speaker. We recommend submitting your request at least three months prior to the meeting or event, as speakers are available on a first come, first-served basis. However, please submit a request even if your event is less than three months away. We will do our best to fulfill your request.

Please complete the online form below and a speaker activities coordinator will contact you concerning your request within three business days.

* = required fields

YOUR INFORMATION
Title	Mr. Ms. Mrs. Dr. Other                (please specify)
Last Name*
First Name*
Company
Street Address
City
State/Province
Zip/Postal Code
Telephone Number*
E-mail Address*
EVENT INFORMATION
Date Speaker Required*	(mm/dd/yyyy)
Time of Presentation*
Length of Presentation*
Name of Event*
Name of Organization*
Event Street Address*
Event City*
Event State*
Event Country*
Nearest Major Airport
Lodging Information (provide proximity of location to airport and driving times)
I agree to provide travel & lodging reimbursement for the speaker.*	Yes No By indicating “yes”, you also agree to reimburse speaker travel costs — including reservation fees — in the event that the engagement is cancelled.
Desired Presentation Topic*    View abstracts	Select a Suggested Topic About ASQ Overview of ISO 26000 Making the Economic Case for Quality The Future of Quality Innovation Global Quality Management Quality and Social Responsibility Value of Certification
Audience Size*
Audience Demographics* (check all that apply):	C-suite executives Senior level executives Middle management professionals Quality practitioners New to quality Other                (please specify)
Industry Area*
List other speakers presenting at your event.
DESIRED SPEAKER
First Choice*:	Select a Speaker ASQ Executive Council Member Other ASQ Member Leader Other Subject Matter Expert
COMMENTS
How did you hear about the Speaker’s Bureau?*
Additional Comments: