Speaker Request Form
Submitting your request at least a month prior to the event for on-island events and 3-6 months for off-island events is highly recommended. Sufficient notice will give our office enough time to review and respond to your request. Please be advised that we may not be able to accommodate all requests.
Please specify event name.
Please specify event location.
Please specify date for event.
Please specify time for event and time slot for speaker.
Who is organising the event?
Please provide a brief description of the organisation.
Please enter the web address of organisation.
Please specify the speaker request.
Keynote
Panel
Workshop
Other
If other, please specify speaker request.
Please specify the delivery of the request.
In person
Online
Pre-recorded video
Other
If other, please specify delivery request.
Will there be a charge for delegates to attend the event?
Yes
No
If a fee is required, please disclose the amount below.
Please provide details of the topic to be covered.
Please upload any relevant documents/agenda.
Select a File
Who else is confirmed as speaking at the event?
Please describe the target audience attending the event
How many attendees are you expecting?
1-25
25-50
50-75
75-100
100+
If the event is to be publicised online, please provide a hashtag for the event and an account to follow.
Additional comments
First Name
Last Name
Email
Phone Number
Submit
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