Invite Us Type of Event requested:* Workshop hosted by NETWORK staff Speaking engagement for Executive Director Mary Novak Want to learn more about NETWORK, our issues, or how to be an effective advocate for justice? Whether you have an hour or a whole day, the NETWORK Advocates team can work with your group to provide tailored workshops and trainings that will equip you to be powerful leaders in the global movement for social justice.● There is a suggested donation of $100-$500 depending on the length of the workshop, although we are always happy to work with your group’s budget. ● If travel is required, we ask that the costs of travel and accommodation be provided. ● As we sometimes have many requests coming in, please submit your request at least 30 days prior to the requested dates of the workshop. Thank you and we look forward to sharing our knowledge and experience with you in pursuit of the common good!About youName of requesting group or organization:* Website: Are you located in the United States or Canada?* Yes No Organization or Group 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 / Province ZIP Code Organization or Group Address:* Street Address Address Line 2 City State / Province / Region AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Name of requesting individual* First Last HiddenEmail and Phone* EmailEmail* Phone*HiddenPhone Phone Contact Person if different than requesting individual:Please include name, email, and phone numbers of the person who we will work with on details of this request. First Last Email EmailPhone PhoneEvent DetailsEvent Name:* Is this an in-person event or a virtual event?* In-person Virtual Event Location Street Address Address Line 2 City State/ Province ZIP / Postal Code Please describe the event's purpose and desired outcome:*Event Start Date* MM slash DD slash YYYY Event End Date* MM slash DD slash YYYY Event Start Time* : Hours Minutes AM PM AM/PM Event End Time* : Hours Minutes AM PM AM/PM Is this date and/or time flexible?* Yes No Please indicate in detail what alternative times or dates are available:What is the title, topic or theme of Mary's part of your event?* Please describe Mary's role at your event:*Keynote, Major AddressPanel, DiscussionSermonWorkshop or Retreat LeaderAward RecipientSmall Group ParticipantBook Reading or SigningOtherPlease explain in detail Mary's role:*Is Mary's participation at more than one time?* Yes No Start of Mary's portion:* : Hours Minutes AM PM AM/PM End of Mary's portion:* : Hours Minutes AM PM AM/PM Start of second portion: : Hours Minutes AM PM AM/PM End of second portion: : Hours Minutes AM PM AM/PM Start of third portion: : Hours Minutes AM PM AM/PM End of third portion: : Hours Minutes AM PM AM/PM If Mary is unavailable would you be interested in having another representative from NETWORK be part of your event?* Yes No Unsure Is the event open to the public?* Yes No Is there a cost to attend?* Yes No What is the ticket price?*Is this event a fundraiser?* Yes No For whom? Anticipated Audience Size:*Audience and key participants:* Academic including teachers and students Religious Elected Officials Business Leaders Other Please describe the diversity of the audience including age, religious affiliation, and racial and ethnic makeup:*May NETWORK connect with the attendees after the event?* Yes, we will give NETWORK attendee contact information. Yes, we will send an email to attendees on NETWORK's behalf. Yes, we will provide information about connecting with NETWORK in an organization publication. No, there is not a way to connect with attendees or our community after the event. In addition, are you willing to? (check all that apply) Include NETWORK materials in attendee handouts Provide a table to display NETWORK materials What is the closest airport or train station?* Can you reimburse for travel expenses?*We request reimbursement for all travel expenses. NETWORK will book travel and submit receipts/invoice for you to reimburse. Indicate here if you are unable to do this. Yes No Honorarium:*Honoraria for Mary engagements typically range from $1,000-2,000 for smaller organizations to $7,500-10,000 for larger organizations; for online/virtual events, honoraria of $500-$1,000 is customary. However, we do not want cost to be a deterrent and will do our best to work within your budget.When do you need a decision by?* MM slash DD slash YYYY Desired location:* NETWORK Offices Requested Date:* MM slash DD slash YYYY Is this date flexible?* Yes No Please indicate in detail what alternative times or dates are available:*Is there a particular topic you are interested in? About NETWORK Catholic Social Justice Faith-Based Advocacy (Overview) How to Lobby / Prep for a Lobby Visit Policy Briefing Racial Wealth and Income Gap Tax Justice Transformative Conversations Wealth/Income Inequality Other Indicate "Other" topic here:* Are you planning on visiting your members of Congress on Capitol Hill or in-district soon after this training?* On the Hill Home district No Are you looking for assistance to set up the lobby meetings?* Yes No For the policy briefing or lobby visit, what topic(s) would you like to focus on?* Tax Justice Living Wage / Family-Friendly Workplaces Healthcare Immigration Democracy/Voting Rights/Census Housing Other Anticipated Audience Size:*Please describe the diversity of the audience including age, religious affiliation, and racial and ethnic makeup:*If travel is required will you be able to cover the cost?* Yes No Donation/Honorarium amount:*Tell us a bit more about what you hope to gain from a NETWORK training or workshop?*Is there anything else you think we should know? Δ
