FSJ Speaking Engagement Request

Request a Speaking Engagement

Request a training, speaking engagement, or seminar from FreeState Justice
Name*
Pronouns (he/him, she/her, they/them, etc.)
Organization Affiliation*
Email*
example@example.com
Phone Number
Phone number to best contact you at.Format: (000) 000-0000.
Type of Speaking Engagement

In-person trainingOnline trainingWebinarWorkshopPresentationPanel DiscussionLegal clinicOther
Other:
General Subject Area*

LGBTQ 101Housing ServicesIntimate Partner ViolenceHealthcareFoster CareCriminalization and IncarcerationState and Federal Legal ProtectionsInclusive Spaces for StudentsOther
Other:
When: (specific date or date range)*
When:

Specific DateDate Range
Date

MonthDayYear
-
Date

MonthDayYear
Where:
Audience Type:

StudentsAdministratorsLegal ProfessionalsHealthcare ProfessionalsService ProvidersOther
Other:
Technology Available:

ProjectorComputerZoom or other online webinar platformOther
Other:
What is your budget for this training? *
Additional Information: (audience size, specific content interests, etc.)
Please verify that you are human*
Should be Empty:

Request a Speaking Engagement