Skip to main content

Category IV: Multiple Program Speaker Events

This request form must be filled out completely - including signatures. There is a TWO events/applications per calendar year limit for each organization and/or target audience. Include processing fee of $50 per speaker AND $50 per program - no limitation on the number of speakers and/or programs. For example, 2 speakers each doing 2 programs (4 programs total) would cost your organization $300 (2 x $50 + 4 x $50 = $300). Form and payment must be submitted at least 30 days before the program date.

/
/
:
Please include the name of building as well as a street address.
/
/
/
/
/
/
Have you confirmed date and time with EACH speaker?

Home or organization address to which Humanities Nebraska should mail confirmation materials to you

I ASSURE THAT MY ORGANIZATION WILL:

  • Guarantee that this program will be free and open to the public,
  • Acknowledge HN funding in all print materials, media interviews, and at the beginning of the presentation,
  • Hold this program in an accessible, public space with sufficient space to accommodate at least 25 people,
  • Promote and market this program,
  • Fulfill all publicity requiremtns (HN will send you a publicity packet after your request form is process),
  • Notify HN and the speaker immediately of any changes concerning the program (including cancellations),
  • Not use HN Speakers Bureau presentations as fundraisers, membership drives, or private gatherings, AND
  • Submit a final report within 10 days after the completion of the program.

I CONFIRM THAT:

  1. The organization requesting this program is a not-for-profit entity.
  2. I have read and understand the policies and procedures set forth by HN for this category.
  3. I understand that failure to comply with the above requirements may jeopardize my organization's eligibility for future programs and/or funding.
Payment Form

Please complete this form entirely before making your payment. A link to the online payment system is available at the end of this form. 

/
/
/
/

PLEASE MAKE CHECK OUT TO:
HUMANITIES NEBRASKA


If you have any questions please contact our office by calling 402-474-2131 or emailing info@humanitiesnebraska.org. We are more than happy to provide any necessary assistance!

/
/

Humanities Nebraska programming is made possible by:

and generous individuals, foundations, and businesses across Nebraska.