Request a THGC Speaker - Texas Holocaust and Genocide Commission

To request that a member of THGC staff speak at an event, meeting, classroom, etc., please fill out the form below.

First Name

Last Name

Job Title and Department(s)

Institution

Venue Name

Address

City

State

Zip Code

Cell Phone

Work Phone

Purpose of the visit:

What is the layout of the venue? (rows, tables, etc.):

What equipment will be available?

Audio (Speakers)

Computer

Internet

Laptop

Microphone

Projector

Screen

Other equipment available not listed above:

What parking is available?

If this is for an event, will participants be charged an attendance fee?

If this is for an event, will there be any religious content?

If this is for a class, what is the name of the course and what is the age range/grade level of the participants?

What will the audience have studied in advance of the visit?

When do you want the visit to occur? FIRST Choice:

Indicate Date, Time, Length of Presentation

When do you want the visit to occur? SECOND choice:

Indicate Date, Time, Length of Presentation

When do you want the visit to occur? THIRD Choice:

Indicate Date, Time, Length of Presentation

Additional comments: