Alzheimer’s Association Illinois Chapter
Speaker Request Form

The Alzheimer’s Association Illinois Chapter is now taking speaker requests. Requests may be made for a physician, local researcher, or members of our Illinois Chapter medical and scientific committee.

Speaker Fees

The Alzheimer’s Association is a nonprofit organization. We work hard to serve individuals and families impacted by Alzheimer’s disease and other dementias and raise awareness in the community. The vast majority of our direct services to families are provided free of charge. To help us keep those services free, we may ask organizations requesting a speaker to pay a small fee to help defray the costs of staff time, travel and print educational materials distributed at the speaker event. We will let you know if fees apply and what the exact fee is when we respond to your request.

Thank you for helping us continue to serve our community.

PLEASE NOTE:

Please request presentations at least 8-12 weeks in advance. A speaker is generally not confirmed until 6 weeks prior to the speaker event, unless otherwise requested on the form.

You are responsible for marketing, publicizing and registration for this event.

A MINIMUM OF 15 PEOPLE IS REQUIRED TO ATTEND THE SPEAKER EVENT. This must be confirmed via phone or email prior to 48 hours of the speaker event, otherwise the speaker event is subject to cancellation. We ask that you collect RSVPs for the speaker event, and also send reminders to participants 48 hours in advance. We reserve the right to charge an agreed-upon fee in the case of an audience not meeting the minimum of 15 attendees; we may hold your credit card information as a security deposit.

Due to limited resources, we are not able to accommodate all speaker requests. Your request is not final without a signed confirmation agreement between the Alzheimer’s Association and requester.

For additional questions, please contact Olivia Matongo at 815.793.2999.

 

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Contact Information
Speaker Event Details
If the mailing address is different than the speaker event address, please type the mailing address below.
Non-profit Status
Audience
If you have made prior arrangements for one of our Alzheimer’s Association staff or Speaker’s Bureau members to speak, or if you would like to request a specific presenter, please list their name below. If not, we will arrange for one of our trained speakers to present. All of our speakers are highly qualified.
Request Speaker Event Date & Time
Venue Information
Marketing the Speaker Event
Terms and Conditions

Processing your request:

  1. Please be sure that you have requested your presentation at least 8-12 weeks in advance
  2. This request form is not a confirmation of a scheduled speaker with your organization.
  3. A speaker is generally not confirmed until 6 weeks prior to the speaker event, unless otherwise requested on the form.
  4. A MINIMUM OF 15 PEOPLE ARE REQUIRED TO ATTEND THE SPEAKER EVENT.
  5. You are responsible for marketing, publicizing and registration for this event.
  6. Cancellations may be non-refundable or subject to only a partial refund. Please let us know if there are any changes or cancellations to the speaker event at your earliest convenience.
CLICK SUBMIT TO PROCESS YOUR SPEAKER REQUEST
For additional questions, please contact Hadi Finerty at 815-272-2011.

© Alzheimer’s Association Illinois Chapter