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Thanks for your interest in supporting the ASRC Telethon on World Refugee Day, Saturday 20th June.

Complete this form with your details and we will send you an email reminder before the event as well as alerts throughout the day when key activities happen.

First Name *

Last name *

Email *

Phone Number *

Phone

ASRC Speaking Engagement Request

Thanks for requesting a speaker from the ASRC for your event. We aim to prioritise people with lived experience for public presentations and encourage you or your organisation to provide a fee to cover the costs of providing quality speakers.

Organisation name and brief description: *

Location and address of the event: *

Key contact details

Name *

First

Last

Position *

Phone number *

Email *

Date and time speaker required: *

Please include duration of the event and provide alternative dates and/or times if possible

Subject presentation:

Immigration detention
Legal process for seeking asylum
Family re-union
Right to work and access to education
Personal stories of seeking asylum
Other

Please let us know what issues and outcomes you would like from our presentation.

Please specify:

Audience details: *

Please tell us about the backgrounds and interests of the people attending. Will there be children attending? Will there be people with a refugee background or people seeking asylum?

Numbers attending: *

1 - 10
10 - 20
20 - 30
30 - 40
40 - 60
60 - 80
80 - 100
100 +
Other

Please specify:

Please list any audio-visual equipment (e.g. data projector, computer, screen, etc.) that can be provided for our speaker: *

Estimated funds to be given to the speaker: *

How did you find out about the Speakers? *

Do you have any other comments/questions?

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