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.

Questions?

Telephone 1.866.701.1867

Email memory@historica-dominion.ca

Your Contact Information ^{* Required information}

Title / Rank

First Name*

Last Name*

Address*

City*

Province / Territory*

Postal Code*

Email Address

Telephone*

Alternate Telephone

Fax

Primary Language*

Other Languages Spoken?

Gender

Preferences for Speaking Engagements

Age or Group Preference*

What is your preferred audience size?*

How far can you travel?*

Are you 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?*

How Did You Hear About Us?

Let us know how you heard about us:*

Special Requirements / Comments

Please include any additional information you wish to provide regarding service experience, and please specify if you require any special accessibilityor travel arrangements.

The Memory Project

Become a Speaker

Questions?

Telephone 1.866.701.1867

Email memory@historica-dominion.ca

Your Contact Information ^{* Required information}

Military Information

Preferences for Speaking Engagements

How Did You Hear About Us?

Special Requirements / Comments

The Memory Project

Become a Speaker

Questions?

Telephone 1.866.701.1867

Email memory@historica-dominion.ca

Your Contact Information * Required information

Military Information

Preferences for Speaking Engagements

How Did You Hear About Us?

Special Requirements / Comments

Your Contact Information ^{* Required information}