Request a speaker

To request a speaker for your school, simply complete the form below. Please ensure you allow 4 weeks prior to the presentation date when requesting a speaker.

Please note that online submissions are sent directly to the suitable speaker and therefore must contain as much information as possible in all required fields.

Only one speaker can be requested per submission.

Upon completing one request please follow the prompts to request another speaker.

Fields marked with a * are required

Your details

Contact first name *
Contact last name *
Position *
School/Institution *
School level *
Region *
Street address *
City *
State *
Postcode *
Phone number *
Mobile *
Fax *
Email address *

Topics

Request details

This section will help us select the most appropriate speaker for your school. *
Age of audience between and years
Gender of audience
Male
Female
Mixed
Size of audience (min 15) *

Is there any specific information about their career that you wish the speaker to address? *

What do you want your students to gain from this presentation? *

Please provide any other information or special requirements we need to take into consideration: *

Is there any AV equipment available for the speaker?
Yes
No

If yes please specify

What is the format of the presentation? *
PLP Classroom presentation
Orientation day
Assembly
Graduation ceremony
Classroom presentation
Parent/teacher evening
Career expo/presentation
Year level presentation
Other (please specify below)

Date and Time

Date: *
Time: * :
Duration of presentation *

I would like to receive the Advantage SA Speakers in Schools Enewsletter

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Last updated: 31 Aug 2011Copyright Advantage SA 2012

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