Request a Speaker

Full Name *

Job Title/Position *

Phone Number

Email Address *

Name of Organisation *

Type of Organisation *

Name of Your Event *

Date of Your Event *

Time of Your Event *

Hours

Minutes

Location of Your EventIf online, please state this in your answer along with the platform that will be used for the event e.g. Zoom, Facebook Live, Skype etc.

Is the event private or open to the public? *

PrivateOpen to the public

What is the demographic of your audience?

What is the nature of your event?

How long do you require the speaker to attend? *0 / 150

How long would you like the speaker to speak for? *0 / 150

What would you like the speaker to cover during their talk?

Will your event provide the context/history of the Srebrenica genocide and ethnic cleansing in Bosnia and Herzegovina prior to the speakers talk?

If your event is in person, your organisation will be asked to cover all travel expenses necessary for speakers, potentially including accommodation costs and an honorarium. Are you able to do this?

YesNo

If you have any queries or comments or wish to include anything else, please do so below

Please attach any relevant event material such as flyers, posters, key information etc.

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Phone Number

Email Address

Is the event private or open to the public? *

If your event is in person, your organisation will be asked to cover all travel expenses necessary for speakers, potentially including accommodation costs and an honorarium. Are you able to do this?

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