OCHR Speakers Bureau Interest Form
The Speakers Bureau educates and informs the public about the impact of hate on the individual and the community.The bureau is made up of OC community members who have been impacted by a hate crime or hate incident.

Members of the Bureau will have the opportunity to serve as speakers for various speaking engagements - not limited to workshops, webinars, and listening sessions. All involvement is voluntary, meaning you can choose which events you'd like to participate in and speak at.

If you have any questions or concerns, you may contact the Commission Team at ochrcommissionteam@ochumanrelations.org

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First and last name *
Gender pronoun(s) - If you're comfortable and willing to share - (e.g. they/them, she/her, he/him, etc). *
Phone Number *
Email *
Type of hate or discrimination (check all that apply) *
Required
A report was made to: *
I utilized the following services (check all that apply) *
Required
Have you shared your experiences with others? If so, who? (e.g. hotline, friend, counseling, family member, etc) *
What were their responses and how did their responses impact you? *
Have you ever spoken with a group of people about your experience(s)? *
Why do you want to participate in the Speakers Bureau? *
How would you like to participate in the Speakers Bureau? Please mark all that apply *
Required
Are you comfortable speaking: *
Required
If media or the press were to hear your story, would you feel comfortable being quoted? *
Required
If you are willing to be quoted, will you allow media to quote you by name or must be anonymous? *
Required
Have you ever been interviewed by the press about your experience? *
Required
Have you ever been trained to speak to the media (through a job, etc)? *
Required
Some events may be public, do we have your permission to release (check if yes): *
Required
Please provide any additional comments that you'd like us to know about you or your personal experiences *
By checking this box, you acknowledge that the above information is true and accurate *
Required
Thank you for sharing your personal experiences with OC Human Relations
Thank you for sharing your personal experiences with OC Human Relations. Sharing your personal experiences with a hate crime or hate incident is never easy.

After submitting a completed form you will be contacted to set up a meeting with the Hate Crime Prevention Coordinator, Nhi Nguyen, to discuss your interest in becoming a member of the OC Human Relations Speakers Bureau. If you are selected to speak as a member of the bureau, you will retain the option of participating in upcoming opportunities according to your interest and schedule.
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