JQ Speakers Bureau Application
Name
Address
City
State
Zip Code
Phone Number
Email
Age
Gender Identity
Sexual Orientation
In a few sentences, please tell us the type of work you do for a living:
Provide a brief statement (no more than 100 words) telling us why you want to be a JQ International speaker:
What topics are you comfortable/competent to talk about? (For example, coming out, being part of an LGBTQ family, raising LGBTQ children, etc.)
For examples and ideas of topics, please see JQ’s online Speakers Bureau Brochure
Submit
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