Request edit access
Special Projects Speaker Request Form
To request a speaker from Special Projects please complete this form with as much information as possible. We will contact you within one week with any further information requests. Thank you so much for your interest in Special Projects!
Email address *
What is the name of your event? *
What is your organisation's name? *
What is the location of your event? *
What is the date of your event? *
MM
/
DD
/
YYYY
Tell us about your event (eg. agenda, content, purpose, other featured speakers)
What is your expected audience size and background?
Do you have a preferred speaker from Special Projects?
Clear selection
Will you consider an alternative speaker from Special Projects if your first choice is not available?
Clear selection
Why did you choose Special Projects?
What is the speaking topic?
Is there a specific project or theme in our work you are looking to highlight?
What is the format of the speaking opportunity?
Clear selection
What is the expected time commitment?
Will your organisation offer an honorarium? If so please give the amount in GBP
Will your organisation cover travel and lodging expenses?
Clear selection
Will the talk be recorded and used after the event? If so, where?
What is your name?
What is your telephone number?
Submit
Never submit passwords through Google Forms.
This form was created inside of Special Projects. Report Abuse