Speaker form – Fundraising Nest

First Name

Last Name

Pronouns

Organisation

Current Job Title

Contact Number

Address

Birthday

Gender

Ethnicity

Please share any conditions, disorders or disabilities that you live with so that we can help offer the support or understanding you need

Are you willing/able to travel both within Australia and NZ?

Both Only Australia Only NZ No travel

Area of expertise

Years of experience

Have you presented before?

Yes No

- If NO – would you like training to prepare you for your first session?

Yes No

- If YES – please summarize your speaking experience

Upload a bio - please summarise who you are (Max 600 words) (jpg, gif, pdf, doc, docx)

Upload a summary of your session topic (Max 600 words) (jpg, gif, pdf, doc, docx)

Please upload a recent picture of yourself (jpg, png, gif, pdf)

Website

Twitter

Instagram

Facebook

First Name

Last Name

Relationship to you

Contact Number

First Name

Last Name

Pronouns

Organisation

Current Job Title

Contact Number

Address

Birthday

Gender

Ethnicity

Please share any conditions, disorders or disabilities that you live with so that we can help offer the support or understanding you need

Are you willing/able to travel both within Australia and NZ?

Both Only Australia Only NZ No travel

Area of expertise

Years of experience

Have you presented before?

Yes No

- If NO – would you like training to prepare you for your first session?

Yes No

- If YES – please summarize your speaking experience

Upload a bio - please summarise who you are (Max 600 words)

Upload a summary of your session topic (Max 600 words)

Please upload a recent picture of yourself

First Name

Last Name

Relationship to you

Contact Number

Fundraising Nest Speaker Directory Submission