APA Divisions Council Diverse Speaker Bureau - Participation Form 

Help us build a network of diverse speakers! Everyone is welcome to participate!

We are passionate about creating a space where a variety of voices and perspectives can be heard. We're actively seeking speakers from different backgrounds and experiences to share their knowledge and inspire others.

The survey results will help APA, APA Divisions, and APA Chapters identify and promote speakers who represent diverse backgrounds, experiences, and perspectives within the planning profession.

Let's amplify diverse voices together!

- APA Divisions Council EDI Taskforce

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Email *
What is your name?  *
What is your gender identity? (Select all that apply) *
Required
What is your race and ethnicity? (Select all that apply) *
Required
Do you consider yourself a member of the LGBTQIA+ community?
Clear selection
If yes, you can elaborate if you would wish
How would you rate your level of public speaking experience? (We encourage speakers of all experience levels to participate)
*
Not experienced
Very experienced
Have you participated in any speaking events? If so, what were the events and topics you spoke about?
What specific topics would you like to be invited to speak about?  *
Required
Which of the following best describe your interest? (Optional)
Clear selection
For in-person speaking opportunities, which state(s) are you willing to travel to for speaking engagements? (Optional)
What is your LinkedIn profile link (optional)
Do you have any other information you'd like to share with us? (Optional)
Submit
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