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SPEAKER BUREAU REQUEST FORM

Thank you for your interest in having a Duval Public School speaker at your event. In order to help us facilitate your request, please complete in its totality the following form at least 2 weeks prior to the event, and allow 3-5 business days for decisions to be made.

First Name

Last Name

Email Address

Organization Requesting a Speech:

Mission and Purpose of Organization:

Thank you for helping us make a difference!

Requester's Employer and Title:

Requestor’s Position within the Organization:

Phone

Duval County Public Schools

Tel: 904-390-2000 1701 Prudential Drive

Jacksonville, FL 32207

Duval County Public Schools is an equal opportunity school district.

Duval Schools has policies and procedures in place to protect its employees, students and anyone associated with the District from discrimination, harassment, sexual harassment or retaliation. It prohibits discrimination based upon race, color, gender, age, religion, marital status, disability, sexual orientation, gender identity, political or religious beliefs, national or ethnic origin, pregnancy, genetic information or veteran status.

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