Skip to content
Equality for All Speaking Engagement Request Form
1.
Organisational Details
Requesting Organisation
Key Contact Person
Email Address
Phone Number
2.
Event Details
Name
Date
Timeframe
Location
*
3.
Which Equality Advocate would you like to hear from?
Select up to 3 options. Please click
HERE
for Equality Advocate Bios.
(Required.)
Alison
Annabel
Bernie
Brenda
Christine
Feonyx
Jessie
Joy
Katrina T.
Leena
Lili
Modupe
Sreelekshmi
*
4.
Which presentation topic are you requesting?
(Required.)
Accessing employment
Accessing health care services
Accessing leadership opportunities
Accessing sexual and reproductive health services
Chronic illness
Gender and disaster
Mental health
Participating in sports
Volunteering for organisations
Workplace inclusion and belonging
Other (please specify)
5.
Speech Details
Proposed speech length in time
Will there be a Q&A session?
Target audience
Estimated audience size
Our Equality Advocates talk about a range of topics including gender inequality and discrimination, please be aware of this in your preparation and communicate with event attendees.
FURTHER DETAILS
6.
Role of Equality Advocate at Event
Key Note
Guest Speaker
Panellist
Breakout Sesssion
Other (please specify)
7.
Mode of Delivery
Webinar
In-person
Other (please specify)
8.
Will the media be contacted?
Yes
No
9.
Type of Media
Newspaper
Radio
TV
Other (please specify)
None of the above