Speaker Request Form "*" indicates required fields To book a speaker for your organization, please fill out the form. Speakers can be booked for an event at your school/organization or to meet with your audience via Zoom. While there is no fee to book a speaker, some of our Survivors will need transportation from your organization. Please note that The FHM's Speakers' Bureau is based in Pinellas County, Florida. At this time, we are limiting in-person presentations to Pinellas County. A Museum representative will further confirm our speakers' ability to travel for your request in the confirmation email.Contact Name* First Last Contact Phone*Contact Email* On Site or Via Zoom?* On Site Via Zoom Current Availability Service Category Speakers' Bureau Service SUSNSpeaker PresentationDocent-Led Museum Tour Please specify agenda Staff Speakers' BureauMuseum Educator Timezone: America/New_York March 2026 SUN MON TUE WED THU FRI SAT 12345678910111213141516171819202122232425262728293031 Dates in GRAY are not available. Dates in GREEN are available. When a date is selected, it will show in ORANGE. This field is hidden when viewing the formPreferred Date MM slash DD slash YYYY Alternate Date* MM slash DD slash YYYY Preferred Time*Speaker presentations are available to begin between 9:00 AM and 4:00 PM. For special events outside of this time frame, please share all details of event schedule in the "Information About the Group" section. Hours : Minutes AM PM AM/PM Alternate Time* Hours : Minutes AM PM AM/PM Organization / School Name*Organization / School Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County or School District*Title I School* Yes No School Type*Select OnePublicPrivateHome SchoolCollegeAdultsCharterOtherGroup Type*Select One5th GradeMiddle SchoolHigh SchoolCollegeAdultsOtherThis field is hidden when viewing the formGroup NameEstimated Audience*Estimated Number of Teachers*Estimated Number of Students*Can you arrange transportation for the speaker if necessary?* Yes No Can you arrange hotel lodging for the speaker if necessary?* Yes No Information About the Group*Please let us know the group's knowledge about Holocaust history, what kind of speaker and presentation you are looking for, and the exact schedule requested.This field is hidden when viewing the formSpecial Instructions:CAPTCHA