Form Center

2. Urban Biologist Speaker Request Form
   Urban Biologist, Brett Johnson is able to speak on topics related to Urban Biology. Speaking engagements will be accepted on a case by case basis. Please complete and submit the speaker request form below.
4. Contact First Name
5. Contact Last Name
7. Address
8. Suite #
10. City
11. State
12. Zip
14. Phone
15. Email
17. Name of Event or Organization
    Please type the event name or the name of the organization hosting the event.
19. Presentation Details
    Please select three event dates & times, in order of preference, with Option I being your preferred option. Please know we'll do our best to accept your request, but all requests are subject to availability.
21. Date and Time of Event: Option I
    Date and Time of Event: Option I

    Date and Time of Event: Option I
22. Date and Time of Event: Option II
    Date and Time of Event: Option II

    Date and Time of Event: Option II
23. Date and Time of Event: Option III
    Date and Time of Event: Option III

    Date and Time of Event: Option III
25. Location Name of Speaking Engagement
    Type the name of the building or location where the speaking engagement is taking place ex: Omni Convention Hotel. Please provide parking instructions, if needed.
27. Address of Speaking Engagement
    Please type the physical address of the speaking engagement location.
28. Suite #
30. City
31. State
32. Zip
34. Speaking Topics

    Please choose from the following speaking topics:

    1. General Urban Wildlife and Ecology
    2. Feral Hog Ecology
    3. Pollinator Conservation and Management
    4. Prairie Ecology and Management

    1. Wildlife in Dallas Parks
    2. Dallas Park and Recreation Conservation Efforts
    3. Unique Natural Features in Dallas Parks
    4. Other *
36. Presentation Time
    Please type the amount of time the presenter will have to speak.
37. Audience Size
    Please type the approximate size of the audience.
38. Suggested Topics:
    Please suggest other topics, if you selected other, above:
40. Audience Details
    Describe the audience. Include their age demographic. What do they do? What are their interests? What are their challenges? What do they want to take away from this session?
42. AV Needs
    Will the speaker have access to AV equipment? Please list the equipment he will be able to use during during the presentation.
43. Internet Access
    Will the speaker have access to the internet?
45. Onsite Contact First Name
46. Onsite Contact Last Name
48. Onsite Contact Cell Phone #
49. Onsite Contact Email
51. Thank you
    Thank you for submitting your request. Contact Brett Johnson should you have questions regarding your request: jonathan.johnson@dallascityhall.com
Leave This Blank:


53. Submit

* indicates a required field