Please take a few minutes to complete the below MLA Speaker Request Form. All questions in this survey are mandatory. Please note that all speaker requests are subject to staff availability. 

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* 1. Name of event:

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* 2. Date of event:

Date / Time

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* 3. Please indicate the times for the event:

Start time:
Finish time:
Time MLA speaker is required:

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* 4. Length of presentation:
(e.g. 15 minutes)

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* 5. Location of event - Town

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* 7. Location of event - Postcode

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* 8. Location of event - Country

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* 9. Please provide a summary of the event 

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* 10. Expected number of participants/size of audience at this event:

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* 11. What is the theme of the event or the information being presented? For example, is the event focused on pasture development, genetics and breeding, technology and innovation? What other speakers are you hoping to include? 

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* 12. To assist with securing a speaker for your event, please explain exactly what you would like MLA to present on (please be as specific as you can) and explain how this would compliment any other presentations. 

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* 13. Have you spoken to any MLA staff member about this event? If so please provide details. 

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* 14. Speaker(s):
If you have a particular staff member you wish to invite, please include their name here:

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* 15. Who is your target audience for this event?

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* 16. Please provide your name, and the details of the event organiser:

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* 17. Will there be both internet connection and a projector at the venue?

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* 18. Would you consider an MLA speaker presenting remotely via video conference if they are unable to attend in person?

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