Speaker request form

We welcome requests for our staff or our Chair to speak at events relating to the medical profession and to healthcare more generally.

If you'd like to request a speaker, please complete the form below in full and as clearly and accurately as possible – please don't contact individual Communitybaptistpa staff directly. 

Give us as much notice as possible, ideally submitting the form at least three months before your event. We will accept requests at shorter notice, but may not be able to accommodate them.

We receive a large volume of speaker requests, and unfortunately can't meet every request. If you're requesting for a specific person to speak and they are not available, we'll try to offer a suitable alternative speaker if we can. 

We aim to get a decision back to you as soon as possible, and within three weeks at the latest. 

You and your organisation
Your event
DD/MM/YYYY
Hour/minute