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NSA/CSS

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Request an Executive Leader

HomeHelpful LinksRequest an NSA SpeakerExecutive-Level Leadership

Please complete this form in its entirety - we cannot process your request until we receive a completed version. If there are fields that do not apply, please type “N/A”. DO NOT LEAVE IT BLANK or it will result in non-submission. The form must be submitted at least 45 days before the event. Otherwise we cannot guarantee your invitation will be processed in time for a final decision. Information provided in the form may be shared with NSA Speakers Bureau participants or coordinators for coordination purposes.

After completing this form, please email us a current agenda (draft agendas are acceptable) for your event.

NOTE: Submission of this Speaker Invitation Request Form does not authorize the requestor to use the name, title, photograph, or biography of the requested speaker as well as the National Security Agency/Central Security Service and U.S. Cyber Command in any form of marketing materials. Official notification of acceptance or decline will be provided to the requestor upon completion of our legal and public affairs vetting process.

REQUEST AN EXECUTIVE LEADER SPEAKER

NSA executive leaders are available to engage with your audiences to talk about our mission, strategic outcomes and whole-of-government efforts. The form links below are for:

- Director, NSA

- Deputy Director, NSA

- Deputy Chief, CSS

- Executive Director, NSA

- Chief of Staff, NSA

- Senior Enlisted Leader, NSA

To request an executive, use the following:

Select NSA/CSS Executive Leader: Required
If the requested speaker is unavailable, is a deferral acceptable?
YesNo
Speaker Deferral Choice (Select all that apply):

NOTE: Use SHIFT or CONTROL to make multiple selections
Other Deferral, not in list above:

(NOTE: If the Speaker Deferral Choice option is left blank, we will assume the engagement is not deferrable.)

Have you already invited, or do you plan to invite other NSA or US Cyber Command speakers?

YesNo

If yes, please provide their names. You must complete a separate form for each NSA speaker.

Are spouses or guests invited?

YesNo

REQUESTOR CONTACT INFORMATION

Full Name:Required

First Name (Required)

Last Name (Required)

Job Title:Required
Affiliation/Organization:Required
Phone Number:Required
Email Address:Required

Organization WebsiteRequired
Event Website:Required

EVENT INFORMATION

Event Name:Required

Event Start Date:Required
Event End Date:Required

If this is a multi-day request, enter the start and end dates, and provide details in the Logistics Section.

Describe this Event's Purpose:Required

This Event is Hosted by (Organization):Required

Type of Engagement:Required
Class/Seminar
Conference
Podcast
Tradeshow
Workshop
Recruitment
Other

If other, please specify here:
Engagement Format:Required
Presentation
Fireside Chat
Interview
Keynote
Panel
Roundtable
Other

If other, please specify here:

AREA OF FOCUS

Main Speaking Topic Requested:Required

Describe Topics and/or Sub-Topics to be Discussed:Required

Please be specific. What do you want your audience to walk away knowing?

Will there be a Q&A Session?Required

YesNo

If yes, who will moderate? Please hyperlink a bio, or email a copy to Dirinvites2@nsa.gov.

AUDIENCE

Describe the primary general audience (Select all that apply): Required

NOTE: Use SHIFT or CONTROL to make multiple selections

Number of attendees anticipated (in person or virtually during the live session): Required

Select a range.

Names and titles of notable individuals confirmed to attend:

For Example: Members of Congress, Federal Government Leaders, CEOs, other VIPs

Notable individuals who are confirmed to participate/speak:

Please hyperlink any bios, or email copies to Dirinvites2@nsa.gov.

Has NSA or US Cyber Command participated in the past?Required

YesNo

If yes, please provide the event, dates (month and year), and participant name/affiliation. Ex. May 2019: Event name, principal name, title

LOGISTICS FOR EVENT

Deadline for Request Acceptance: Required

NOTE: Please be advised we cannot guarantee a final decision by the date selected, however we will work to ensure you receive a timely response.

How will this speaking engagement be delivered?

In-Person EventVirtual Event

In-Person Event Venue Address:

Building/Room Number/Parking Details

Street

City

Region

Country

Zip

If virtual, leave fields blank.

Audio/Visual Capabilities:Required

YesNo

On what platform will the event be hosted?Required

Does the platform require a software client or plugin?Required

YesNo

If yes, please explain.

What degree of interaction is required during the session (e.g. chat, survey, polling)?Required

Does the platform have any firewall rules in place, and or utilize any port redirection?Required

YesNo

If yes, please explain.

Event Start Time:Required

Use 12 or 24 hour format.
Event End Time:Required

Use 12 or 24 hour format.

Speaker Presentation Date:Required

Speaker Start Time:Required

Use 12 or 24 hour format.
Speaker End Time:Required

Use 12 or 24 hour format.

Will this time slot include a Q&A Session?Required

YesNo

Event attire required for speaker:Required

Civilian AttireUniform

If uniform is required, please indicate type:

Is a speaker bio required?Required

YesNo

Is a speaker headshot required?Required

YesNo

Sponsor Name/Organization:Required

Sponsor Type:Required

U.S. GovernmentNon-GovernmentAcademia
Foreign Government

Is the host organization a non-profit?Required

YesNo

Is this event a fundraiser?Required

YesNo

If yes, for what organization are these funds being raised?

MEDIA

Will media/press be in attendance?Required

If you anticipate media, please include the media/press list (name and organization). Alternatively, you may email a copy to Dirinvites2@nsa.gov.

A draft list is acceptable, but you must provide the updated list within 15 days of the event to Dirinvites2@nsa.gov.

Remarks will be:Required

On the recordOff the record

Will the event be recorded?Required

YesNo

If yes, how will the recording be used, and where will it be published/posted?

Will the event be live-streamed?Required

YesNo

If yes, what is the intended purpose?

EXPENSES

Cost to attendees other than a speaker (please provide the highest value/cost of ticket, value/cost of food, and value/cost of beverages for legal analysis, not sufficient for "No cost to government"). Please do not leave this section blank as it is needed by our legal team to provide a proper assessment. If the amount is $0 please enter that in the fields below:

Value/cost of ticket/registration:Required
$
Value/cost of food/beverages:Required
$

Specific expenses covered by organizer: Required

Memento, travel expenses, meal, invitation to any reception, etc.

Guidelines/Disclaimer

Read the SpeakersNSA Guidelines and select the checkbox below.

DisclaimerRequired

I agree to the SpeakersNSA Guidelines

Need Assistance?

If you have any questions or need help completing the Speakers Invitation Request Form, please e-mail the SpeakersNSA office at DIRInvites2@nsa.gov

ReCaptcha must be checked.

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Request an Executive Leader

REQUEST AN EXECUTIVE LEADER SPEAKER

REQUESTOR CONTACT INFORMATION

EVENT INFORMATION

AREA OF FOCUS

AUDIENCE

LOGISTICS FOR EVENT

MEDIA

EXPENSES

Guidelines/Disclaimer

Need Assistance?

NSA.GOV

CULTURE

HELPFUL LINKS

RESOURCES

RELATED LINKS