Speaking Engagement Request Form

A big part of Toyota's mission involves public engagement and we welcome the opportunity to share our knowledge and experiences with the broader business community, colleges and universities and organizations working to implement solutions to be a force of positive change.

We are often asked to talk in settings that bring together business executives, higher education leaders, training experts and people working to improve their local communities.

Thank you for your interest in having a TSSC speaker at your event. In order to help us facilitate your request, please complete and submit the following form (and attach any corresponding attachments). Requests must be submitted at least 3 months prior to the event and allow 10 business days for decisions to be made.

If you have any questions or need help completing this form, please email tssc@tema.toyota.com.

Part 1: Event Organizer

Name of Organization Submitting Request

Event Sponsor(s)

Is your organization a tax-exempt nonprofit entity 501(c)(3)?
   Yes       No

Title Mr. Ms. Mrs. Dr.

First Name

Last Name

Job Title

Phone

Email

How did you hear about TSSC and our services?

Part 2: Event Details

Event Name / Title

Event Location

Event Date / Time

Event Purpose / Goal

Event Website (if applicable)

Part 3: Presentation / Speech

Requested Topic

What do you want the audience to do with the information?

Type of Request

Requested Speaker, if any

If a conference, is it regional, national or international?

Expected Duration

Question and Answer Period?

Part 4: Audience Details

Audience Size

Who will be in the audience?

Other confirmed participants in your event we might want to know about?

Is membership required to attend?

Media

Part 5: Additional Information

Deadline for Acceptance

Cost of Attendance

Offer of Payment / Reimbursement

Disclaimer / Release Form

 

Submit