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Diocese of Des Moines Speaker Approval Form

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Requests for permission to invite an outside speaker must be submitted in writing to the Office of the Bishop using the
following Speaker Approval Form.

This form should be completed by:

the pastor or his delegate for parish events
the principal for school events
a chancery staff member for diocesan events
event or organizational leadership for events hosted by Catholic organizations

An invitation to present should not be extended until permission from the Bishop or his delegate has been granted in writing.

Requestor's name

Date

Name of speaker(s) or group

Contact information for speaker(s) or group:

Phone number

Email address

Address

Address Line 2

City

State

Zip Code

Home (Arch)Diocese

Has the speaker or group presented in the Diocese of Des Moines before?

Yes

Subject(s) of presentation

Name of event

Type of event (forum, workshop, convocation, convention, etc.)

Proposed date(s) and time(s)

Proposed location(s) for the event

Audience (parishioners, clergy, public etc.)

Purpose of event

Letter of good standing dated within the last year is attached (select one below):

from the home (arch)diocese for clergy & diocesan staff outside of our diocese

from the superior of religious orders/congregations outside of our diocese

from the Catholic university or college for Catholic teachers of theology outside of our diocese

from the home parish for laity

Upload letter of good standing

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