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News

External Speaker Form

10th January 2023

Guest speaker form

SECTION 1. PERSON INVITING THE SPEAKER

Campus

Full Name

Curriculum Area

Email Address

Phone Number

Delivery Date

Time of Delivery(s)

SECTION 2 - THE GUEST SPEAKER(S)

Full Name(s)

Organisation

Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Reason For Event

Topic/Brief Synopsis

Who is Expected to Attend

Appropriate checks carried out on speaker to confirm status

Yes

No

Reason For Event

Do you have any concerns that the speaker may be controversial or hold inflammatory or offensive views?

Yes

No

If yes have you contacted the DSL explaining why and what plans are place to reduce concern

Yes

No

N/A

Has the speaker been refused a platform to speak at the college or anywhere else?

Yes

No

If yes have you contacted the DSL explaining why and what plans are place to reduce concern

Yes

No

N/A

Does the speaker agree to follow the College Vision and Values?

Yes

No

N/A

If no discuss with HOD/C

SECTION 3.

DSL Contacted with additional concerns

Yes

No

N/A

Additional Control measures/comments:

Signature of person inviting external speaker

Date signed

61055

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