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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:****does not**

# 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- Executive Director, NSA- Chief of Staff, NSA- Senior Enlisted Leader, NSATo request an executive, use the following:

                                        - Select NSA/CSS Executive Leader: Required Director (NSA)/Chief (CSS)Commander (USCC) Director (NSA) and Commander (USCC) (Dual Hat)Deputy Director (NSA)Deputy Chief (CSS)Executive Director (NSA)Chief of Staff (NSA)Senior Enlisted Advisor (NSA/CSS) 
                                        - If the requested speaker is unavailable, is a deferral acceptable? YesNo 
                                        - Speaker Deferral Choice (Select all that apply): Deputy Director (NSA)Deputy Chief (CSS)Executive Director (NSA)Chief of Staff (NSA)Senior Enlisted Advisor (NSA/CSS)Other (Please specify below) 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.) 

YesNo

YesNo

# REQUESTOR CONTACT INFORMATION

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

                                        - Organization WebsiteRequired  
                                        - Event Website:Required  

# EVENT INFORMATION

                                        - Event Start Date:Required 
                                        - Event End Date:Required  

                                        - Type of Engagement:Required Class/Seminar ConferencePodcastTradeshowWorkshopRecruitmentOtherIf other, please specify here:
                                        - Engagement Format:Required PresentationFireside ChatInterviewKeynotePanelRoundtableOtherIf other, please specify here: 

# AREA OF FOCUS

YesNo

# AUDIENCE

YesNo

# LOGISTICS FOR EVENT

In-Person EventVirtual Event

YesNo

YesNo

YesNo

                                        - 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. 

YesNo

Civilian AttireUniform

YesNo

YesNo

U.S. GovernmentNon-GovernmentAcademia   Foreign Government

YesNo

YesNo

# MEDIA

On the recordOff the record

YesNo

YesNo

# 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 								$  

# Guidelines/Disclaimer

Read the SpeakersNSA Guidelines and select the checkbox below.

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 

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                          - RELATED LINKS                              - DNI.gov
                            - Defense.gov
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##### NSA.GOV

                                - About
                                - Leadership
                                - Cybersecurity Collaboration Center 
                                - National Cryptologic Museum 
                                - Contact NSA 
                                - Accessibility
                                - ABA Notice
                                - Site Policies

##### CULTURE

                                - Core Values
                                - Operating Authorities
                                -  Civil Liberties, Privacy, & Transparency Office 
                                - Compliance
                                - Diversity, Equity, Inclusion, & Accessibility
                                - General Counsel
                                - NSA Inspector General

##### HELPFUL LINKS

                                -  
                                - NSA Freedom of Information Act
                                - Privacy Act Requests
                                - Request a Speaker
                                - Prepublication Review
                                - Media Inquiry
                                - Frequently Asked Questions

##### RESOURCES

                                - Classified Materiel Conversion
                                - Commercial Solutions for Classified Program (CSfC) ​
                                - Cryptographic Support Services 
                                - Media Destruction Guidance 
                                - NSA Open Source

##### RELATED LINKS

                                - DNI.gov
                                - Defense.gov
                                - IC on the Record
                                - Intelligence.gov

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