Illinois - Request Speaker

Illinois Presentation Request Form
To request a Red Cross presentation for your group, please fill out the form below.

We apologize that we may be unable to fulfill requests for events that are submitted less than 2 weeks in advance or with fewer than 10 attendees.

Please note: This request form is for groups in Illinois only.

* indicates required field
Type of Audience:
Presentation:
Will this presentation be in-person or virtual?
Name of Group Requesting Presentation:
Name of Contact:

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Preferred Event Date:

MonthDayYear
Date
Requested Start / End Time of Red Cross Presentation:
Is the Date / Time Flexible? (Flexibility of scheduling results in a greater likelihood that we can match a volunteer ambassador to your request.)
Event Location: (Must be in Illinois)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Estimated Number of Attendees:
Check All Resources That Will Be Available On-Site to Our Presenter:
Additional Details or Comments:
Should be Empty:

Illinois Presentation Request Form