New Frontiers of the Gold Country - Speaker Survey Form


A Not for Profit Group Serving the Community by Offering Educational Programs and Social Activities to expand our Spiritual Awareness

If you would rather print out this form and mail it to New Frontiers, instead of e-mailing, use this printable speaker survey form instead. Otherwise, use the form below; which saves postage, paper and time.


Greetings! Through one means or another we've learned about you and your work and are interested in the possibility of having you talk and/or give a presentation for NEW FRONTIERS. We have a monthly newsletter, Internet mailings, and a website that provides circulation to approximately 800 people who have been attendees of past NFGC events. We are often able to arrange radio and community television interviews. We do extensive postering, advertising and networking which canvasses Northern California, greater Sacramento, the foothills area, and into Nevada as well.

We are always looking for interesting speakers with relevant topics to address our group. Please complete the following questions and return it to us ASAP along with any additional information that would help us to know you and what you would be presenting. Our Board will review your information for applicability as a speaker for our group. Please understand that not all applicants can be selected. We need this form completed for us to proceed. It will be presented for approval along with any additional information you provide.

The policies of NFGC are as follows (unless other arrangements have been made):

1. After the fixed expense of the hall rental is deducted, NFGC will split the net proceeds 50/50 with the speaker. A check will be mailed within 10 days of the event.

2. We frequently audio and video tape presentations and make copies available to those who request them for a nominal fee as a fundraiser for our group. The videotapes are often presented on our local community television (FCAT, Channel 11 Grass Valley), and aired on community radio (KVMR-FM 89.5-Nevada City, 103.7-FM Auburn and live broadcast on the web at http://www.kvmr.org). Pre-publicity video and audiotapes often boost attendance at events and can become a great help in promoting your work within our greater community. They are greatly appreciated and encouraged. We will sell books or tapes for the speaker for 20% of the proceeds, which contributes to the funding of our programs. If you have tapes, books or other items you would like us to sell, please mail us an advance copy of each item for review and a current price list. Unless otherwise specified, advance copies may be used as raffle or promotional items. They will also be used to publicize your talk. Remaining materials (not picked up by the speaker at the event) will become the property of the NFGC library.

3. If you are interested, we will provide a list of suitable accommodations. We sometimes have host families available as alternatives as well.

If you would like to arrange other options than those listed above, please call or e-mail your request (see reverse). Please send us a photograph (preferably not halftone) of yourself and/or your work for our newsletter, posters and NFGC www pages. We need press kits, photos, videos, bio information and other publicity materials at least two months in advance to give your talk the best exposure. Please complete the following. Feel free to use additional sheets, if necessary.

In the past, our policy has been to choose speakers from out of the area so the local community has an opportunity to hear people they may not know about otherwise. If you live within our community and have contacted us with an interest in becoming a speaker for NFGC, our Board will look over your information and will determine your applicability.

Please fill out this Speaker Survey form, which will help us get to know you better, address your particular interests and will help our Board in determining our selection of future speakers for NEW FRONTIERS. Please return this form ASAP so it can be presented to our Board. If you are chosen as a speaker, we'll firm up our schedule as quickly as possible to enable as much preparation time as possible for us all.

Thank you for your interest in New Frontiers. We look forward to receiving your information and the possibility of having you as a speaker!

Please complete this form to submit your information. Click on Submit when ready to send.

Your Name

Academic/Professional or other Title:

Today's Date

Best time to reach you (specify AM or PM & time zone):

Daytime Phone

Evening, Cellular or other Phone

Fax

Email address

Mailing Address

Mailing City

Mailing State

Mailing Zip

Other means of contacting you

Title and outline of your presentation


Why is this important to us?


Please list alternate topics you could present


Tell us about you


Have you given workshops/seminars in this area? Please tell us when, where and what the attendance was.


What will you bring? (Handouts, audio visual equipment, etc.)


Do you sell books, audiotapes, videotapes or other products at your talks?
Yes
No
If yes, please describe:


Will you be mailing books, videotapes, audiotapes, or other products in advance of your presentation?
Yes
No
Titles of books, tapes and URLs if available online


We normally video and audiotape our events to be aired on local Community TV & radio. Are you available for radio or TV interviews?
Yes
No

We typically book speakers 3-9 months in advance and typically schedule for the Thursday evenings (See our home page for tentative dates). What months/dates are you available, if selected?


Are you willing to trade for advertising?
Yes
No

We provide a wireless microphone, PA system and audiocassette taping. Will you need a slide projector and screen?
Yes
No

We will help to arrange for additional equipment or supplies, but will require your funds to cover the costs beyond the equipment listed above. Will you need a video or computer projector and screen?
Yes
No

Will you need any additional audio/visual or other special equipment?
Yes
No

Anything else we can help with?



I agree to the terms in the NFGC policies stated above, including permission to air video and audiotape materials.


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Thanks to the folks at Response-O-Matic for their way cool free Form Program!
-Many books, tapes, videos, etc. of New Frontiers speakers can be ordered directly from the wonderful folks at Source Books; ordering from these links helps support this site... THANKS!- - - - Updated:-. http://www.intent.com/nfgc/ssform.html