Request a Speaker

Know someone who would make a great speaker, or have a topic you'd like the club to explore? Fill out the form below — the speaker organizer will follow up with you.

A quick note: SLV Rotary is non-political and non-religious, and we don't use our programs as a fundraising platform. Your nominee won't be put in a position to make an ask from the podium, though they're welcome to bring information or materials to leave on the table for members to pick up on their own.

Fields marked * are required.

Your Information

Name *

Phone (optional)

Email *

About the Speaker

Speaker Name *

Speaker City / Location

Speaker Email (optional)

Speaker Phone (optional)

Topic * (2–10 words)

Summary Rough Draft (optional — one to several sentences describing the topic for newsletter)

How strongly do you want this? (select one)

Low — Just an idea Medium — Recommendation High — Strongly recommended

Speaker is a Rotarian Local to the Santa Cruz Mountains area Speaker may want to leave fundraising or donation materials on the table

Scheduling

Approximate Date Recommendations (optional)

Zoom only (not in person)

Comments (optional)

Optional details ›

Have you already spoken with…

The speaker organizer The president

Speaker Photo (optional — JPEG or PNG, max 4 MB)

Image is too large — please choose a file under 4 MB.

Brief Bio (who are they and why would members enjoy this?)

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