Poet Laureate Speaking Engagement Request Form

Invite San Mateo County's Poet Laureate, Antonio López, to speak with your organization or at your event. Fill out the form below with details at least 2 weeks in advance of the event and the Office of Art and Culture will respond. A submitted request does not indicate your event request has been granted.

First

Last

Organization

Cell Phone Number

Event Name

Event Date

Event Time

Address

City/Town

ZIP/Postal Code

Short Description of the event (2-3 sentences only.)

Intended audience and expected number of attendees.

Logistics – Speaker Session Format

Opening Remarks

Featured Speaker

Other…

What would you like the Poet Laureate to speak about and for how long?

Attachments if needed. (upload files)

One file only.
2 GB limit.
Allowed types: pdf, doc, docx, ppt.

Additional information or comments.

Thanks for your invitation. The Office of Art and Culture will contact you within 5 business days of the submitted form.