Speaker Request Form, UC IPM Urban & Community Program

Please use this form to request a staff person from the UC IPM Urban & Community unit in Davis to present at an event, training, or class. You must submit a separate survey form for each date and topic requested, even if for the same event. We will contact you to confirm a speaker’s availability and discuss specifics.

If you are requesting the IPM presentation for Master Gardener volunteers in training, it is preferable that they have a class on Entomology, Weeds, and Plant Pathology before the class on IPM.

Submission of the form does not guarantee a speaker will be available. If you have questions or do not hear from us within 2 weeks of submission, please email Lauren Fordyce at lfordyce@ucanr.edu.

UC IPM also offers training presentations, handouts, and resources for UC Master Gardeners to use to train others. Visit the training materials page.

✻ = Required

I have read the intro section above and understand the guidelines for this form. ✻

Yes No

Have you already asked your local UC advisor(s) to give this presentation and they have declined? Please consult with them prior to requesting assistance from the UC IPM Statewide office. ✻

Yes No

Contact Information & Guidelines

Please provide the following information for the person who will be in communication with UC IPM staff about the event (the primary contact). Please limit this to only 1 person.

Emails to UC IPM about the training should include the following in the subject line: program name, training topic, and date of the training. For example: Yolo MGs - IPM training - June 12, 2025.

Following these guidelines helps us manage the numerous training requests and emails we receive. Thank you!

Name of primary contact person: ✻

Email address of primary contact person: ✻

Phone number for primary contact person: ✻

If you are a UC Master Gardener volunteer, please write the name and email of the UC employee who is overseeing this event.

Will there be anyone else in contact with UC IPM about this event? If yes, please provide their full name and email address.

Event Details

County (ex. Yolo County): ✻

Date or proposed dates: ✻

Year ✻

Start and end time: ✻

Time allotted for presentation (not including breaks, announcements, or other speakers) ✻

Presentation is for: ✻

If you selected “other” for the last question, please list company or organization name.

In person or virtual? Select one.

In person Zoom Teams Not sure yet

If in person, enter full address (city and zip) of training/class/event:

Enter "virtual" if on Zoom or Teams.

Estimated number of attendees: ✻

Presentation topic: ✻

Would you be able to provide any funds to cover our travel expenses? This is not necessary but helpful for long-distance travel costs or multiple requests for the same county. ✻

Yes No

Please list any other important details.