Request an Executive Leader


Please complete this form in its entirety - we cannot process your request until we receive a completed version. If there are fields that do not apply, please type “N/A”. DO NOT LEAVE IT BLANK or it will result in non-submission. The form must be submitted at least 45 days before the event. Otherwise we cannot guarantee your invitation will be processed in time for a final decision. Information provided in the form may be shared with NSA Speakers Bureau participants or coordinators for coordination purposes. 

After completing this form, please email us a current agenda (draft agendas are acceptable) for your event.

NOTE: Submission of this Speaker Invitation Request Form does not authorize the requestor to use the name, title, photograph, or biography of the requested speaker as well as the National Security Agency/Central Security Service and U.S. Cyber Command in any form of marketing materials. Official notification of acceptance or decline will be provided to the requestor upon completion of our legal and public affairs vetting process. 

REQUEST AN EXECUTIVE LEADER SPEAKER

REQUESTOR CONTACT INFORMATION



EVENT INFORMATION















AREA OF FOCUS

AUDIENCE

LOGISTICS FOR EVENT







MEDIA

EXPENSES

Cost to attendees other than a speaker (please provide the highest value/cost of ticket, value/cost of food, and value/cost of beverages for legal analysis, not sufficient for "No cost to government").  Please do not leave this section blank as it is needed by our legal team to provide a proper assessment. If the amount is $0 please enter that in the fields below: 

Guidelines/Disclaimer

Read the SpeakersNSA Guidelines and select the checkbox below.

Need Assistance?

If you have any questions or need help completing the Speakers Invitation Request Form, please e-mail the SpeakersNSA office at DIRInvites2@nsa.gov