Speaker details form - Philanthropy Australia

Speaker details form

Thank you for agreeing to speak at our upcoming event. Please complete the following form so that we are able to include your details in all promotions in the lead-up to the event.

If you have any issues with the form, please reach out to [email protected].

Speaker details

Full name (include post nominals if appropriate)

Pronoun Pronoun

Job title

Organisation

Phone

Session title

Speaker bio

0 of 110 max words

Upload speaker headshot

Maximum file size: 52.43MB

LinkedIn handle (if willing to be tagged)

If willing, please provide a quote that PA can use on social media etc to promote the Leadership Summit, answering one or both of the following: What kind of leadership is needed for our times? What do we need to do differently?

Are you happy to be interviewed for a potential story in Philanthropy Australia’s newsletter?

Yes

Are you willing to be put forward for external media opportunities if appropriate?

Yes

If you are human, leave this field blank.