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appendix fourteen

PDF symbol Speaker Agreement

speaker agreement

I have read the Tips for Speakers and agree to abide by them. If I do not, I understand that I may be removed from panel participation.

I wish to speak on the Impact Panel because:

________________________________________________________________

________________________________________________________________

 

I believe the greatest strengths I bring to the program are:

________________________________________________________________

________________________________________________________________

 

I believe the areas that could be troublesome to me are:

________________________________________________________________

________________________________________________________________

 

I agree to speak on the following conditions:

Where?__________________________________________________________

How often?_______________________________________________________

 

Dates to avoid:

Birthdays:________________________________________________________

Anniversaries:_____________________________________________________

Holidays:_________________________________________________________

Other:___________________________________________________________

 

This agreement will be reconsidered in ______ months.

 

______________________________________________________
Speaker Signature Date

______________________________________________________
Panel Coordinator Signature Date

 

PDF symbol Offender Speaker Agreement

offender speaker agreement

 

I agree to speak on the following conditions:

Where?__________________________________________________________

How often?______________________________________________________

Dates to avoid:

Birthdays:______________________________________________________

Anniversaries:___________________________________________________

Holidays:_______________________________________________________

Other:_________________________________________________________

 

This agreement will be reconsidered in ______ months.

 

______________________________________________________
Speaker Signature Date

 

______________________________________________________
Panel Coordinator Signature Date

 

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