Book a speaker

Your audience will gain valuable understanding around the importance of preventative mental health and wellbeing for first responders and their families.

Arrange a speaker using the form below.

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Event name *

Event venue *

If not confirmed, please answer “TBC”

Event address *

If not confirmed, please answer “TBC”

Event date *

Date

Time

If this is not confirmed, please enter a date as close to the assumed date as possible.

Event type *

• Conference
• Workplace presentation
• School presentation
• Community group presentation
• Other

Length of presentation

Audience demographic

e.g. school children, corporate, sports team, etc.

Audience size

Tick the boxes that are relevant to you *

• This request is part of a fundraiser for Fortem Australia
• I/We will be making a donation to Fortem Australia at this event
• I/We understand that all reasonable speaker costs must be covered

Your name *

Your email address *

Your phone number *

Your organisation *

Please provide a brief description of your organisation *

What is your primary motivation for requesting a speaker from Fortem Australia? *

Do you have a topic in mind?

Fortem Australia services, first responder mental health, lived experience, etc.

Email *

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