Speakers Bureau Volunteer Information
Please complete this form as completely as possible. The information you provide will be kept confidential, and used to help to create diverse panels.
May we leave a voice mail?
Please indicate your gender identity.
Please indicate your sexual orientation.
Race & Ethnicity
Please indicate your race and/or ethnicity.
Ability & Disability
Please indicate any salient abilities and/or disabilities by which you identify.
Religion & Spirituality
Please indicate any religious and/or spiritual identities that are salient for you.
Please indicate your occupation, if any.
Please indicate your academic classification. Choose any and all that apply.
High School Student
First-Year College Student
Second-Year College Student
Third-Year College Student
Fourth-Year College Student
Beyond Fourth-Year College Student
Other salient identities
Please indicate any other salient identities.
Have you been a Lead Speaker with the Stonewall Center Speakers Bureau before?
Would you like to be a Lead Speaker in the future?
What intersections with your sexual orientation and/or gender identity would you like to speak about?
Race & Ethnicity
Religious and Spiritual Identity
What topics are you particularly interested in speaking about?
What audiences would you like to work with?
Choose any and all that apply.
UMass Students, Classes, Organizations, etc.
Are you willing to travel off campus to attend Speakers Bureau panels?
Yes, but only close by
Yes, anywhere is fine
Is there anything else that you would like the Speakers Bureau Coordinator to know?
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