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.
Type of Speaking Engagement
In-person training
Online training
Webinar
Workshop
Presentation
Panel Discussion
Legal clinic
Other
Other:
General Subject Area
*
LGBTQ 101
Housing Services
Intimate Partner Violence
Healthcare
Foster Care
Criminalization and Incarceration
State and Federal Legal Protections
Inclusive Spaces for Students
Other
Other:
When: (specific date or date range)
*
When:
Specific Date
Date Range
Date
-
Month
-
Day
Year
Date Picker Icon
-
Date
-
Month
-
Day
Year
Date Picker Icon
Where:
Audience Type:
Students
Administrators
Legal Professionals
Healthcare Professionals
Service Providers
Other
Other:
Technology Available:
Projector
Computer
Zoom or other online webinar platform
Other
Other:
What is your budget for this training?
*
Additional Information: (audience size, specific content interests, etc.)
Please verify that you are human
*
Submit
Should be Empty: