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Speaking Out Request Application
Out Boulder County's Speaking Out Program is a volunteer speaker's bureau where members of our community from every part of the LGBTQ spectrum, as well as allies, share their stories on a panel of 3 or 4 people. After each member shares a 5-15 minute story about their life as an LGBTQ person or ally, the audience members have 30+ minutes to ask questions to specific members or the whole group.

We politely ask that any requests for Speaking Out panels be submitted at least 2 weeks in advance.
We also request that there is at least 45mins available for Speakers to share their stories and answer any questions the audience might have. The Q&A portion of the presentation is an extremely important component and we highly recommend that time is allotted for this.

Name *
Your answer
Pronouns (he, she, they etc.)
Your answer
Phone Number *
Your answer
Email Address *
Your answer
School/Organization Name *
Your answer
Address (Street, City, Zip) *
Your answer
Date for Requested Panel *
MM
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DD
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YYYY
Date for Second Requested Panel (if necessary)
Only use this if you are requesting panels on 2 separate days
MM
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DD
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YYYY
Time of Panel *
Please add the beginning and end time for your panel
Your answer
Second panel time (if needed)
Please add the beginning and end time for your second panel if this request is for multiple class sessions
Your answer
Third panel time (if needed)
Please add the beginning and end time for your third panel if this request is for multiple class sessions
Your answer
Fourth panel time (if needed)
Please add the beginning and end time for your fourth panel if this request is for multiple class sessions
Your answer
Size of the Class *
Your answer
Median Age of Class *
Your answer
Class Subject (If Applicable)
Your answer
Location and Instructions to Find Classroom/Meeting Room *
Your answer
Accessibilty *
We have panelists with limited mobility or special access requirements. Does your building have ramps and elevators?
Your answer
Parking Information for Panelists *
Your answer
Why Are You Requesting a Panel? *
What context? What has happened, if anything?
Your answer
Any Special Request(s) for Panel Members?
Would it be most helpful if the panelists were of a certain age range, background, orientation, or gender identity? Would a bilingual member, person of faith, parent, or some other identity help your students or group to better relate to the experiences of the panelists?
Your answer
How Did You Hear About Speaking Out?
Your answer
Is There Anything You Wish to Add?
Your answer
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