Fair Districts Ohio Speakers Bureau: Speaker Interest Form

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Email *

First name *

Last name *

County you are located in *

Phone number *

Second phone number, if applicable (just say N/A if not) *

Organization affiliation, if any (e.g., civic groups, faith groups, community organizations, etc.) *

How would you describe your experience and comfort talking to groups about redistricting and/or the Citizens Not Politicians Amendment? *

What can we do to support you? *

Provide speaker trainings

Host practice sessions

Provide materials such as presentations, handouts, and talking points

Provide me with a presentation partner

Nothing- I'm good

Other:

Required

Are you comfortable facilitating or taking part in a Zoom call? *

Yes

Yes, with help

No, but I can learn

No, and do not want to do virtual events

Are you willing to travel? *

No, but happy to do virtual events

Yes, up to 25 miles

Yes, up to 50 miles

Yes, up to 100 miles

Yes, over 100 miles

Yes, but I don't drive and would need transportation

How often may we call on you?

As often as needed

Negotiable

Once/month

Infrequently- think of me as emergency back-up

Clear selection

Do you have ideas for groups or organizations that would be interested in a Fair Districts Ohio speaker? *

Will you commit to maintaining a nonpartisan stance in event promotion, presentation, and in less formal conversation while representing Citizens Not Politicians/Fair Districts Ohio/League of Women Voters of Ohio/Common Cause Ohio?

Yes

Anything else you’d like us to know?

Submit

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