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Become An Exhibitor
Exhibitor Application
Fields marked with an
*
are required
Are you a... (Tick all that apply);
*
Parent / Carer
Advocate
Professional
Neurodivergent adult
Other
If you are a professional, please give details:
Website/ Social Handles
*
Which event would you like to speak at? (Tick all that apply)
*
New Zealand ADHD Conference, Auckland
New Zealand ADHD Conference, Christchurch
North Queensland ADHD Conference
Victorian ADHD Conference
Queensland ADHD Conference
Western Australia ADHD Conference
Tasmanian ADHD Conference
Northern Territory ADHD Conference
South Australia ADHD Conference
New South Wales ADHD Conference
ACT ADHD Conference
Where are you interested in speaking at, if not now, in the future?
*
ACT
New South Wales
New Zealand
Northern Territory
Online
Queensland
South Australia
Tasmania
Victoria
Western Australia
Have you spoken in public before?
*
Yes
No
How many people would you feel confident speaking in front of? (Tick all that apply)
*
50
100
500
1000+
N/A
Please give us details of previous public speaking experience (or N/A)
*
Please provide contact details for someone who has heard you speak publicly before. Preferably that name of an individual or organisation whose event you have spoken at: (or N/A)
*
Please tell us about any training, experience or qualifications you have relevant to children, neurodiversity, learning difficulties or behavioural challenges:
*
If you are a professional or business please provide us with your website address or social handles (or N/A)
*
Please tell us a little about what you would like to speak about:
*
Any other information you would like to give us:
Please provide us with any other links to any relevant online articles or videos etc that include you or are written by you or about you:
Do you have professional Indemnity insurance?
*
Yes
No
Submit
