Texas REALTORS Leadership Team Staff Request Form

Texas REALTORS® Event Participation Request
Important: Please submit your request as far in advance of your event as possible to ensure the requested attendee can be accommodated on your event schedule.

Introduction:
Please complete this form to request a member of the Texas REALTORS® Leadership Team or a Texas REALTORS® staff member to speak at your event or facilitate a Texas REALTORS® Leadership Program (TRLP) module. Providing detailed information ensures the right attendee and a successful session.
Requester Information
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Event Details
Event Name
Event Type

Other
TRLP Module
Event Date

MonthDayYear
Date
Event Time

Hour Minutes

AM/PM Option
Event Duration

Other
Event Location / Venue
Expected Audience Size
Audience Type

Other
Event Format
Attendee Request
Preferred Attendee:
Preferred Attendee
Texas REALTORS® Leadership Team Member
Texas REALTORS® Staff Member
Alternate Attendee
Texas REALTORS® Leadership Team Member
Texas REALTORS® Staff Member
Alternate Attendee:
Role at Event

Other
Speaker Attire

Other
Role at Event (What will the attendee be doing?)
Speaker Attire
Additional Information
Event Description / Purpose
Additional Notes / Special Requests
e.g., AV requirements, accessibility needs, agenda attachments
Confirmation & Acknowledgement
Best Contact Method
Should be Empty:

Texas REALTORS® Event Participation Request