Speaker Request Form

advertisement
Speaker Request Form
If you are interested in requesting a speaker, please fill out the form below and send it to the Oxfam office.
Please be aware that the Speaker’s Bureau requires 3 weeks notice to find an available speaker and while we
try and send a speaker to most requests, we are not always able to meet requests due to limited resources.
Contact Person:
__________________________________________________________
Contact number:
__________________________________________________________
Email address:
Mailing Address:
Suburb, State and postcode:
__________________________________________________________
Name of Group, Organisation or School:
Location of Presentation:
__________________________________________________________
Type of Audience: (e.g. High school students, year 10 or Health Care providers)
__________________________________________________________
Estimated Number in Audience:
__________________________________________________________
Desired Length of Presentation: (e.g. 30 mins)
Preferred Date and Time of Presentation:
__________________________________________________________
Alternate Date and Time of Presentation:
__________________________________________________________
Is your event part of a fundraiser? (If so, please state fundraiser name):
__________________________________________________________
Please give a brief description of the event:
__________________________________________________________
__________________________________________________________
The Presentation options: (please circle your choice)
The standard presentation lasts for 30 minutes and covers an overview of Oxfam Australia’s work and how
people can get involved with the agency.
If you would like the presentation to focus on a specific area of interest please circle one of the options below
but note, we may not always have a specialist available.
1) Oxfam Australia standard presentation
2a) Campaigns – Overview
2b) One of the below



GROW (a campaign to create a world where everyone gets enough to eat, always.
This campaign has a focus on fixing the broken food system. It includes helping small
scale food producers who make up 80% of the world's hungry, addressing climate
change, tackling volatile food prices and stopping land-grabs).
Close The Gap (a campaign to close the health and life expectancy gap for Aboriginal and
Torres Strait Islander Peoples within a generation).
Make Poverty History (a campaign to halve global poverty by 2015 based on Australia doing
its fair share to achieve the worlds’ agreed plan - the 8 Millennium Development Goals).
3) Oxfam Unwrapped
4) Trail Walker: Annual 100km fundraiser walk for Oxfam held in QLD, NSW, VIC & WA
5) Focus on a specific issue (please note, these requests are harder to fill)
o HIV/AIDS
o Basic services – Health & Education
o Livelihoods
o Youth
o Emergency response
o Fair Trade
o Our work in the Field
Please return completed form (preferably via email) to:
Speaker’s Bureau
Oxfam Australia
132 Leicester St, Carlton, VIC 3053
Fax: 03 9347 1983
Ph: 1800 088 110
Email: enquire@oxfam.org.au
You will receive an email to notify you that your request has been received. THANK YOU!
Office Use Only:
First response sent 
Tracking spreadsheet updated 
National SRF version 1-January 2014
Download