PCAOB Speaking Request Information Form

Basic Details

Event title*

Event website

When and Where

Event date*

Event end date*

If multi-day event

Event start time

Event end time

City*

State*

Event Type*

In-Person Event Only
Virtual Event Only
In-Person Event with option for virtual participation

Venue/Location*

Please indicate the event site location (i.e., Marquis Marriott Washington, DC)

Hosting Organization

Hosting Organization*

Tax Status*

Tax Exempt
Not Tax Exempt

Point of Contact

Name*

Phone Number*

Phone Number Ext.

Email*

Speaking Engagement Details

PCAOB staff being invited to speak*

If no specific person is being requested, please indicate if you are inviting a board member or PCAOB staff

Type of speaking engagement*

Keynote Address/Speech
Panel
Roundtable Discussion
Breakout Session
Other... This choice will expand a text box

Please List Other Panelists*

If you selected Panel above, please list other panelists. If you did not select Panel, input NA.

Length of Keynote*

Duration in minutes

Will there be audience Q&A?*

Length of Audience Q&A Session*

If answered No above, please input 0.

Topic(s) to be Covered and/or Title of Session*

Other Speakers*

Please indicate whether each speaker is invited or confirmed, and include their organization

Event Details

Is event registration open to the public? *

Yes, the event is open to the public (via registration)
No, the event is invitation only

Number of attendees expected (approximately)*

What is the general composition of the audience?*

Roles and type of attendees expected. If you have an attendee list from previous years or similar events, please attach it.

Is the event open to the media?*

Will the event be recorded?*

No, the event will not be recorded
Yes, audio will be recorded
Yes, video will be recorded
Yes, both audio and video will be recorded

Expenses

Is travel expense reimbursement offered to speakers?*

If so, are expenses paid for from funds provided by anyone other than the event host? Please identify who will pay for these expenses.

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