Guest Speaker Request

Section 1 — Contact & Organization Information

Full Name (required)

Title / Role

Organization Name (required)

Email Address (required)

Phone Number (required)

Website / Social Media Links

Briefly describe your organization and mission

Have you previously worked with SALAM?

YesNo

If yes, please briefly describe the previous collaboration:

Section 2 — Request Type

What are you requesting? Select all that apply. (required)

Khutbah RequestGuest Speaker RequestEducational Program / WorkshopCommunity CollaborationTabling RequestAnnouncement RequestEvent PartnershipOther

If "Other," please specify:

Section 3 — Preferred Location

Where would you like the program to take place?

SALAM Main CampusSALAM Arden CenterEither Location

Section 4 — Request Details

Requested Date(s) (required)

Preferred Time

Program / Event Title

Please describe your request (required)

Expected Audience

BrothersSistersFamiliesYouthGeneral Community

Please share any proposed flyer, slides, handouts, talking points, or materials for review, if available.

Section 5 — Speaker Information

Please provide the information for the person who will be speaking, presenting, or representing the organization at SALAM.

Speaker Name (required)

Speaker Title or Role (required)

Short Speaker Bio (required)

Speaker Email (required)

Speaker Phone Number (required)

Link to a previous khutbah, talk, workshop, or presentation you have previously delivered. (required)

Section 6 — Policies & Acknowledgment

Please check each box below to confirm you have read and understood our policies. All boxes must be checked to submit.

I understand that submission of this form does not guarantee approval.

I understand that SALAM does not permit fundraising appeals during khutbahs, Jumu'ah announcements, or official SALAM programs by outside organizations.

I understand that approved organizations may be permitted to table onsite with a brief acknowledgment only.

I understand that SALAM is a 501(c)(3) nonprofit organization and that this request may not include endorsement of, opposition to, or campaign activity for any candidate, political party, or campaign. Any civic, voter education, public policy, or advocacy content must remain nonpartisan.

I understand that SALAM does not typically allow outside speakers after khutbah.

I understand that all requests are subject to review and scheduling availability.

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