Department of Labor Speakers' Bureau Request Form

 Last Updated: December 10, 2008 

You are here:  DOL Web Site bullet Department of Labor Speakers' Bureau Request Form

 

Once you have submitted your request, a Department of Labor Representative will contact you
to confirm the availability of a speaker for the date and time you have requested.
 

CONTACT INFORMATION
Contact Name:
Title:
Phone Number:
Fax Number:
Email Address:
Organization:
Organization Address:

 

 

EVENT INFORMATION
Topic Requested:
 (select topic using drop-down arrow above)

*Note: Please call Eleanor Lennon at (860) 263-6731 to request other topics than those listed above.
Event Date:
Event Time:      AM  PM
Event Location:
Audience Count:   (a minimum of 20 attendees is required)

 

 


 

Published by the Connecticut Department of Labor, Project Management Office