Your details Your name:
Your age:
Gender:
Postal address:
Home phone:
Work phone:
Mobile:
Email:
Which phone number(s) can we use to contact you to discuss your application?
What are the best times to call you?
What times/days would you be available for speaking engagements?
Have you had previous experience in public speaking?
Which of the following HIV/AIDS issues do you feel most able to speak about?
Other detail:
Are there any issues you would NOT like to speak about publicly?
Some of the requests for speakers come from specific professions (eg. nursing, law). Do you have any personal/professional and/or training that would make you the best person to talk to these groups?
Are there any groups that you would NOT like to speak to?
Would you be interested in attending a Positive Speakers' Bureau Training Course?
Do you have any other skills that may be useful to the Positive Speakers' Bureau?