Wisconsin Department of Veterans Affairs - Speaker Request

Please complete this form to request a WDVA speaker or representative.

WDVA staff may contact you if additional information is needed.

Event & Organization
Describe the event, its purpose, and the intended audience.
Briefly describe your organization, who it serves, and approximately how many people it serves.
Requested Speaker
Who would you like to speak?
Select all that apply.
Dates & Schedule
If there is an alternative date or time, please describe it here.
Enter the estimated arrival time for the speaker.
If applicable, enter the allotted speaking time.
Primary Contact & Location
Include the complete address when applicable. For online events, enter the virtual platform or indicate that the event is online.
Event Details
If this is a speaking engagement, describe any specific topic or focus requested for the remarks.
Will the event be indoors, outdoors, or exclusively online?
Additional WDVA Participation

Would you like WDVA to participate in your event in an additional capacity?

This may include booth space, training, a traveling exhibit, or other program participation. Select all that apply.

Special Requests & Supporting Documents
You may attach an agenda, program, flyer, or other supporting document. PDF files only, up to 5 MB.

Ready to submit your request?

Submitting this form does not guarantee the availability of WDVA staff. Please await notification from WDVA regarding your request.