Speaker Request Form

Need an NSC Speaker for Your Upcoming Event?

We’d love to help – and the sooner we hear from you, the better.

Please submit your request at least eight weeks before your event date. This lead time allows us to evaluate your request, confirm a speaker and ensure a smooth experience. Requests submitted with less notice may not be accommodated.

View our list of NSC experts to explore available topics and speakers. When you're ready, complete the form below to share details about your event and speaker needs.

For questions about the NSC speaker request process, email us at media@nsc.org.

NSC Speaker Request

Contact Information

First Name	Last Name
Email	Phone
Organization	Are you an NSC member?

Event Details

Which NSC focus area does this relate to?

Event Name

Event Date

Event Format

Event Location

City

State

Presentation Type

Expected Audience Size

Primary Audience (select all that apply)

Business leaders/C-suiteFrontline workers/employeesGeneral public/community membersManagement/supervisorsSafety professionalsStudents/educatorsOther (please specify below)(Click all that apply)

Other Primary Audience

Speaker & Presentation Details

Topic

Presentation Length (including Q&A)

Preferred Speaker (if any - include name or link to NSC expert)

Is travel expense reimbursement available

Is a speaker honorarium available

Why is NSC a good fit for this event? (2-3 sentences)

Event website or additional details (optional)

When do you need confirmation by?

Terms & Conditions

I agree that no person for reason of race, color, sex, religion or national origin, will be excluded from or segregated within membership in sponsoring organization, attendance at event or any of the facilities housing this event. I also agree to receive communications from NSC about the Speakers Bureau.

Contact Information

Need an NSC Speaker for Your Upcoming Event?

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