Request a Survivor

For event organizers
The Speakers Bureau is a group of more than 1,500 survivors of sexual violence that represent all different backgrounds and experiences. If you would like to request a survivor to speak at your event or contribute to your project, please fill out the form below 4 to 6 weeks before your event or deadline. You’ll have a chance to confirm or update these details later on in the process. Event organizers are encouraged to read our Frequently Asked Questions to learn more about the process.

For members of the media: Please send your request to


Contact Information

Event or Interview Request Information:

Date or date range requested:
Event or Project Description:

Event Location:
(If you do NOT need in-person attendance and will be using technology such as video conferencing, please say so.)
Proposed Event Time:
Anticipated Age of Attendees:

Survivor Request Information:

Age Range for Survivor:

(visit Types of Sexual Violence for more information)
*How would you like the speaker to participate in the event?

By checking this box, I agree to respond to any and all survivors who send responses to this request.

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