Request a Survivor

For event organizers

The Speakers Bureau is a group of more than 1,700 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 aprilc@rainn.org

Contact Information

First Name
Last Name
Email
Phone Number
Affiliation/Organization
Organization Website

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.)

Remote attendance
City
State
Proposed Event Time

Anticipated Age of Attendees

Survivor Request Information:

Gender/Gender-Identity of Survivor:

Age Range for Survivor:

(visit Types of Sexual Violence for more information)Nature of Crime Committed:
*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.

Request a Survivor

For event organizers

For members of the media

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.)

Remote attendance
City
State
Proposed Event Time

Anticipated Age of Attendees

Survivor Request Information:

Gender/Gender-Identity of Survivor:

Age Range for Survivor:

We’re here when you need us.

93¢ of every $1 goes to helping survivors and preventing sexual violence.

Request a Survivor

For event organizers

For members of the media

Contact Information

Event or Interview Request Information:

Date or date range requestedEvent 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.)

Remote attendanceCityStateProposed Event Time

Anticipated Age of Attendees

Survivor Request Information:

Gender/Gender-Identity of Survivor:

Age Range for Survivor:

We’re here when you need us.

93¢ of every $1 goes to helping survivors and preventing sexual violence.

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.)

Remote attendance
City
State
Proposed Event Time