Speaker Request Form
** PLEASE SUBMIT REQUESTS AT LEAST 3 WEEKS PRIOR TO THE DATE OF YOUR EVENT **

The NJCAHT provides two types of speakers:

1) HUMAN TRAFFICKING 101 SPEAKERS
Our trained and knowledgeable volunteers provide an overview of what Human Trafficking is, how it occurs, where it occurs, and what you can do if you encounter it. These speakers are provided at no cost to you, and presentations are tailored to schools, healthcare and other audiences. Our volunteers gladly accept donations to the NJCAHT.

2) SURVIVOR SPEAKERS
Our speakers share their lived experience, providing depth and clarity to the Human Trafficking 101 presentation. This is a very emotionally impactful presentation, and the most effective way of truly communicating about the issues with your audience. If the audience is school aged, the way the information is conveyed is always age appropriate. 

Survivor Speakers are always compensated for their presentations per NJCAHT Guiding Principals. If you are requesting a survivor speaker, your organization is responsible for paying the survivor speaking fee/honorarium and travel expenses.  

Grants are available to schools to help cover some or all of the costs of the honorarium and travel costs. If you are a school and would like to apply for a grant, please indicate in the form below.

NOTE: In order to have a Survivor Speaker, you must first have a Human Trafficking 101 speaker. This can occur on the same day as the Survivor Speaker, or at an earlier time. Having the Human Trafficking 101 presentation first, allows the audience to have a better understanding of the issues and be able to ask more focused and informed questions.

THANK YOU FOR YOUR INTEREST IN BRINGING AWARENESS TO YOUR COMMUNITY

Sign in to Google to save your progress. Learn more
Email *
Your full name *
Your contact phone number *
Month this presentation is requested for *
Name of organization/school/group/business *
Which NJ County are you based in? *
SURVIVOR PRESENTATIONS REQUIRE THAT AN HT 101 TRAINING HAS ALREADY TAKEN PLACE SO THAT THE AUDIENCE UNDERSTANDS BASIC CONCEPTS SUCH AS COERCIVE CONTROL AND NO INAPPROPRIATE OR UNINFORMED QUESTIONS ARE ASKED. THE HT 101 CAN TAKE PLACE ON THE SAME DAY OR AT A PREVIOUS TIME. 
What type of presentation are you requesting *
If "Survivor Speaker only" on which date did your HT 101 take place?
We offer in person or virtual trainings and we can provide a Zoom link.
In Person or Virtual Training Requested? *
PLEASE NOTE THAT FOR IN-PERSON TRAININGS YOU ARE REQUIRED TO PROVIDE ALL NECESSARY AUDIO/VISUALS (e.g. screen linked to laptop, projector and audio speakers) AND HAVE A PERSON AVAILABLE TO ASSIST THE SPEAKER WITH THE AV SYSTEM.
Location (full address) for In-Person Training
We will try to match your timing preferences, but this is not guaranteed. 
Preferred training date *
MM
/
DD
/
YYYY
2nd choice date
MM
/
DD
/
YYYY
Preferred training time *
Time
:
For HT 101 Training Plus Survivor Speaker 1.5 hrs is recommended, for a single presentation at least 45 minutes is needed and 1 hr is recommended. The more time you request, the more detailed the training can be. 
Duration of training (includes time for Q&A) *
How flexible are you with dates and timings? *
Target audience *
Required
Approximately how many are expected to attend? *
Specific area of human trafficking interest *
Required
Have we ever presented to you before? If so, when? *
Explain why you are requesting a speaker/s?  *
Will there be speakers from other organizations also presenting? Please provide details.
Any flyer or press release mentioning the NJCAHT must be approved by the NJCAHT. Please share publicity plans or state "none". *
How did you learn about us? *
Comments (inc. if tabling materials also requested)
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of New Jersey Coalition Against Human Trafficking.

Does this form look suspicious? Report

Google Forms