Mississippi Humanities Council
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Speakers Bureau - Member Application

Please provide the following information   * Required
Provide demographic and contact information.
* Name First Mi * Last 
* Address * City 
* State/Province * Zip 
Email Fax 
* Telephone Home  * Work 
Describe in 15 words your presentation title.
* Presentation Title 
Describe in 50 - 80 words your proposed Speakers Bureau presentation and bio.
* Presentation Summary
Describe how your expertise will apply to the presentation.
* Describe Expertise 


The following are required to complete your application
 
___ Resume
 
___ Photo/Artwork related to presentation for Illustration (Speaker is responsible for securing permission to publish photo/artwork)
 
___ Signed Application (Application will print after Clicking Submit Application button)
 
___ Mail signed application, resume, and photo/artwork to:
Mississippi Humanities Council
Speaker Bureau
3825 Ridgewood Road, Room 311
Jackson, MS 39211


For additional information call 601-432-6752

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The MHC is supported by Congress through the NEH and by the generosity of individual donors. The MHC does not discriminate on the basis of race, color, national origin, sex, disability, or age. Any views, findings, conclusions, or recommendations expressed on this website do not necessarily represent those of the NEH.