Underrepresented Speaker form
So why am I asking you to submit your details?

I'm asked daily if I can recommend people from diverse and underrepresented backgrounds to speak at various events, participate in panels, chat on podcasts, contribute to articles etc. I have a list of names that I've slowly collected from my personal network, but I know there are some brilliant people out there who have some fantastic insight to share who I'm not connected with.

With the work I do with A Leader Like Me (aleaderlikeme.com) with my co-founder Priya Bates, I'm keen to make sure there are no excuses for not having representation. I also want to make sure that we hear from different voices from across different industries, so it doesn't become an echo chamber.  So if you want to build your speaking portfolio, then complete the details below.

Advita
Co-founder A Leader Like Me
Managing Director CommsRebel

DISCLAIMER: A few bits for you to know - I can promise you, without a shadow of a doubt, that I'm not planning on collating all this information to sell onto third parties. I'm doing this because I'm a bit fed up with not seeing appropriate representation and people saying that they can't find anyone to speak on their panels/conference/podcast etc. Your details below will be made public so those who are looking for speakers can search the list and can approach you directly.

If you change your mind and don't want to be part of this list then drop me a note at hello@commsrebel.com and I'll delete your details within 72 hours.

What I mean when I say underrepresented are people who may have been discriminated against (consciously or unconsciously) because of race, gender, sexuality, age, religion, disibility etc and/or people who are the minority in a majority.
Sign in to Google to save your progress. Learn more
Name *
I hate asking people to put themselves in a box, so please use the free text to describe yourself in a  sentence. For example, for me, I would say: I am a British born South Asian Indian woman, and my pronoun is she/her.
What industry do you work in? e.g. financial services, engineering, public services etc *
Which country do you live in? *
Can you travel if needed? (post-COVID) *
What's your LinkedIn profile link? *
What's your Twitter handle?
What's your website link? (if you have one)
What's your current employment status? e.g. inhouse, consultant etc *
How many years have you worked in the industry that you’re working in? *
What's the largest event you've spoken at? *
What subjects and topics are you confident in talking about? *
What's the best way people can contact you? *
Required
What's your email address? (please note only add this if you have ticked the above box and you're happy for people to contact you via this channel)
Please add links to any previous events/podcasts you've spoken at or articles you've contributed to or written (no more than five)
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms