Board Information

Board Members

Matt Aston	Chair, Business Community
Bishop Eugene Ward Jr.	Vice Chair, Community Group
John Hodge	Labor
Helen Qin	Business
Camilo Villa	Labor

Speaker Request Form

Please fill this form to request the presence of the Fair Employment Wage Board at your event.

Please ensure this form is submitted at least 4 weeks in advance of the event. Subject to the availability of the Board members.

Requestor information

Title

First

Middle

Last

Suffix

Email Address

Event Information

Organization Name

When does the event take place?

Is this event virtual or in-person?

Address

City/Town

ZIP/Postal Code

What is the name of the event?

Provide a brief overview of the event.

Are you requesting the presence of the body of the Board or a specific member?

Please list the member(s) of the Board you are requesting for.

What is your specific ask of the Board member(s)? Please specify what exactly you would like them to speak on and the overall goal you would like to achieve by having the Board member(s) present.

How many people do you anticipate attending the event?

Upload any flyers, briefs, or information pertinent to the attendance of the Board member(s).

One file only.
255 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, avi, mov, mp3, mp4, ogg, wav.

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Speaker Request Form

Requestor information

Event Information

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