Become a Speaker

Thank you for your interest in becoming a member of the Memory Project Speakers’ Bureau; we are excited to have you join our team of over 1,500 veterans and Canadian Forces personnel who share the story of their service experience with Canada’s youth.

Please fill in the form below so that we can add your information to our Speakers’ database and are able to contact you when we receive a speaker request in your area. This information is for internal use only; although your name and phone number will be provided to the teacher once you have agreed to visit their class so that they can contact you to introduce themselves and arrange further details.

YOUR CONTACT INFORMATION
Title
First Name

Last Name

Email

Phone	() -

Alt. Phone	() -

Fax	() -

Language

Address

City

Province/Territory

Postal Code

MILITARY INFORMATION
Service Status

Preferred Service/Branch/Conflict Check all that apply	Army Navy Air Force World War II Korea Afghanistan Peacekeeping

PREFERENCES FOR SPEAKING ENGAGEMENTS
Age or Group Preference

Prefered Size of Audience

Distance willing to travel

I am comfortable with requests for interviews from the media, or to have media present at a speaking engagement if requested
On occasion, we receive requests from schools or groups in remote areas where we do not have speakers available. Would you be interested in telling your story via video conference?
	Yes No

Special Requirements / Comments Please specify if you require any special accessibility or travel arrangements.