Interfaith Ministries for Greater Houston

Resource Request Form

Please note: requests will be reviewed within 3-5 business days upon receipt. All requests are subject to availability. Up to four weeks notice is generally required.

Contact Information

*1.

Question - Required - Contact Person

*2.

Question - Required - Position/Title:

*3.

Question - Required - Contact Email:

*4.

Question - Required - Contact's Phone:

Question - Not Required - Contact's Secondary Phone:

About the Organization/Group

*6.

Question - Required - Organization/Group Name:

*7.

Question - Required - Audience Type (i.e. school, house of worship, etc.):

Date/Location

*8.

Question - Required - Event Date:

*9.

Question - Required - Event Time:

*10.

Question - Required - Event Location:

About the Request

*11.

Question - Required - What are you requesting?
Please make between 1 and 5 selections from the choices below.

	"Abraham: Out of One, Many" Virtual Viewing Request
	House of Worship Visit
	Speaker
	Training/Workshop
	World Religions Presentation or Class
	Other (please describe below)

*12.

Question - Required - Purpose (tell us a more!):

*13.

Question - Required - Number of Attendees Expected:

*14.

Question - Required - Desired Length of Presentation/Class (i.e. 30-45 minutes):

Other Event Information

*15.

Question - Required - What is your budget for this request?

*16.

Question - Required - Will there be audio/visual equipment available for PowerPoint slides?

*17.

Question - Required - Is a bio and headshot needed for the speaker?

*18.

Question - Required - Will media be present?

*19.

Question - Required - Do you plan on audio or video recording the event?

*20.

Question - Required - Do you plan to do any publicity related to this event (either before or after), including through press releases, websites, blog posts, photos, or other means?

21.

Question - Not Required - If yes, please explain.

22.

Question - Not Required - Comments (please use this space to provide any other information that you would like to share):