Speaker Request Form — Partners In Health Sierra Leone

PIH SL Speaker Request

Thank you for thinking of Partners In Health Sierra Leone to participate in your event! We welcome every opportunity to share our work, dialogue about current issues in global health, and inspire fellow champions of global health equity.

Please fill out the below form so we can best understand, and then prepare for, your event. We’ll be in touch thereafter!

Organization Name

Name of contact person

First Name

Last Name

Event Name

Date

YYYY

Start time

Please include time zone, and note that Sierra Leone's time zone is GMT.

End time

Event Description

What is the event's goal? Are there any particular topics you prefer us to highlight?

Event Format

Is this a presentation and/or Q&A? Is it a panel discussion; if so, who are the other panelists?

Preferred Speaker (if any)

Audience

Who will make up your audience? What is their level of knowledge of PIH, Sierra Leone, and/or global health?

Audience Size (anticipated)

Event Link

Please share the link to log on to the event, as well as any instructions for us in logging in (i.e. joining 15 minutes early)

If this event is open to the public, would you like PIH SL to help promote it on social media?

Yes

Anything else we should know?