FI Workshop & Speaking Request Form

Thank you for your interest in Field Inclusive’s Social Field Safety workshops and speaking events.

Please be sure to visit our workshop Q&A before filling out this form.

Once your form has been submitted, our workshop coordinator will follow up in a timely manner to learn more about your event and discuss how we can best support your needs.

First and Last Name *

Email *

Organization/Institution *

Event Name (if applicable)

Event Type *

• Workshop (interactive)
• Keynote / Talk
• Panel Participation
• Guest Lecture
• Other (please specify using the Additional Information box below)

Preferred Format *

• In Person
• Virtual

Event Date(s) *

Time (if known)

Location (City, State or Virtual) *

What group(s) do you expect to attend the workshop/speaking event? *

• Undergraduate Students
• Graduate Students
• Post Docs
• University Faculty / Staff
• Organization Employees (NGOs, Agencies, etc.)
• Temporary Field Technicians

Select all that apply.

How did you hear about us?

Additional Information

Submit