Form

Thank you for your interest in registering as a potential future speaker, as part of our WA Tertiary Engagement Program. We engage with Perth based Universities throughout the year and will be in touch when an opportunity arises.

By completing this Speaker EOI you agree that your contact details will be shared with members of our WA YWP Subcommittee.

First name*

Last name*

Job title*

Company name*

Email*

Mobile phone number*

If you have other areas of interest or expertise, please specify: