Speaker/Cultural Request Form

Speaker/Cultural Request Form

Thank you for your interest in requesting a representative for your upcoming event or documentary screening from the Poarch Creek Indians. Our Tribe enjoys the opportunity to share our Tribe's story with many different types of audiences. To ensure your request is reviewed quickly, be sure to provide information as soon as possible. Our Tribal Government Communications Team will review the request and follow up with you as soon as possible.
Requests must be submitted at least 45 days before the event date to allow time for scheduling and preparation.
Request Type (Check all that apply.)*

Public Speaker/Educational PresentationCultural DemonstrationTribal Exhibit or DisplayForgotten Creeks Documentary ScreeningCultural Education & Language
Event Type*

ConferenceEducationalFestivalCompanyOther
Event Name*
Event Date*

MonthDayYear
Date
Event time*
Is the event date flexible?*

YesNo
If the event date is flexible, please provide alternative dates/times here.*
Name of event location*
Event Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please provide any additional details about the event here.*
How will this event be promoted?*
If overnight stay is required, is there a travel stipend provided?*

YesNo
Media Presence*

ConfirmedUnsureInvitedNo media presence
Estimated audience size*
Who is your audience?*
Requested Speaker*

Tribal ChairAny available Tribal LeaderSpecific Tribal Government DepartmentOther
Which department are you requesting?*
Requested Topics*

Tribal HistoryEconomic Growth and job creationHospitality and tourismEnvironmentalGamingWhere the Tribe is nowOther
Q&A Session Required?*

YesNo
Requested format*

Keynote SpeakerPanel ParticipantPresentorOther
Can the speaker provide marketing materials?*

YesNo
Requested Persons*

Tribal PrincessesPow Wow ClubTribal Artisan DemonstratorOther
Purpose/Reason for attendance at the event.*
Tribal Exhibit/Display Location Name*
Location Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please provide details about the space. (i.e. dimensions, lighting, power, condition, etc.)*
Preferred Documentary Screening Time*
Format needed (i.e. DVD, Blu-Ray, etc.)*
Venue Specifications (i.e. seating capacity, audio/visual equipment available, etc.)*

Speaker/Cultural Request Form

Requestor Information