Virtual
Event Request Form for New Host Groups

Thanks for your interest in virtually hosting a UW-Madison expert for your upcoming event! Please note that Badger Talks accepts requests from off-campus organizations and businesses. UW units are encouraged to reach out to speakers directly.

Contact Information

Company/Organization Name*

Company/Organization Website

Email*

First name*

Last name*

Street address*

Address line 2

City*

Postal Code*

State/Region*

County*

Phone number*

Event Information

Name of event *

(ie. Library Talk Series, Employee Development Meeting, XYZ Conference, etc.)

Will the event be open to the public?*

Yes

Is registration necessary to attend the event, and if so, how do people register? *

Description of event*

Is this event part of a series? Is it a staff development event? Please share any details, the goals for the event, and any notes that will be helpful for the speaker to know.

Description of audience*

Estimated number of attendees (minimum of 20 is required; please read attendance guidelines here)*

Please write a single approximate number, not a range (no dashes, letters, etc.)

Date and Time Preferences

Please let us know in comments if the date/time choices you listed are not yet confirmed and are just placeholders.
If you are flexible in your date/time choice, please select at least one date and start time and then explain in the comments.
We ask that speaker requests be made at least one month in advance.
Please note there may be dates we are unable to accommodate based on availability of speakers.

First Choice

First Choice: Event Date*

Year/Month/Day

First Choice: Event Time*

First Choice: Speaker Login Time*

First Choice: Estimated Talk End Time*

Second Choice

Second Choice: Event Date

Year/Month/Day

Second Choice: Event Time

Second Choice: Speaker Login Time

Second Choice: Estimated Talk End Time

Comments on date and/or time

Desired Length of Talk*

20-30 minutes

31 to 45 minutes

46 minutes to 1 hour

1 to 1.5 hours

Add additional 10-15 minutes for Q&A*

Yes

Event Location Information

We track where virtual events are taking place around the state. Please list the event location below:

Event City*

Event State*

Event County*

Day of Event Contact Name (First and Last)*

Day of event mobile phone number

Day of Event Contact Email*

Speaker/Topic

You may list up to three speaker options for your event. Please list in order of preference. You can browse speakers here https://speakers.wisc.edu/topics-speakers/ or search by topic or keyword using the search bar in the top right corner.

Speaker 1 option

Speaker 1 talk topic and/or title

Speaker 2 option

Speaker 2 talk title/topic

Speaker 3 option

Speaker 3 talk title/topic

If you are uncertain about which speaker to request, or have other speaker-related questions, please comment here.

Additional information about your request

Media

Can we help publicize your event? *

Yes

If you would like us to tag you on Facebook, please list your Facebook address.

Twitter handle

Please send images to badgertalks@uwmad.wisc.edu

Can the University of Wisconsin-Madison use images from your event for promotional purposes?*

Yes

Terms of Agreement

Please read the following Badger Talks policies.

FEES. UW-Madison speakers volunteer their time, and the University covers their travel-related expenses. Host groups are expected to cover any additional expenses related to event.
NUMBER OF REQUESTS.  Wisconsin groups are generally eligible to request two talks via Badger Talks per calendar year. Badger Talks reserves the right to turn down talk requests based on staff workload and schedule availability.
ON-CAMPUS GROUPS.  If your group is headquartered at UW-Madison, please contact speakers directly. Badger Talks only facilitates talks for off-campus organizations/businesses.
HOSTING RESPONSIBILITIES.  Your organization is required to cover any non-travel, event-related costs, as well as designating a contact person who will meet the speaker on the day of the event. We expect that host groups will do their best to accommodate any special needs speakers may have.
CANCELLATIONS. Hosting groups are required to provide a minimum of three business days notice in the event of an unforeseen conflict impacting a scheduled talk.
TIMING.  Engagements with speakers should be booked at least one month in advance to ensure adequate time to confirm a speaker and make any necessary travel arrangements.
SUBJECT TO CHANGE. Speaker and/or topic availability is subject to change.

Virtual Event Request Form for New Host Groups