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Speaker request form

Cancer Council Victoria’s mission is to prevent cancer, empower people and save lives.

We are committed to engaging with the community and sharing information about our work.

Every year we receive hundreds of speaking requests, and we prioritise these when we can, however due to limited resourcing, we’re not always able to accommodate every request.  To ensure we meet your needs and can fulfill the request appropriately, we need to gather information about your event/ activity.

Please consider the following things before completing the form:

  • Your request must be lodged with us at least four weeks before your event/ speaking date.
  • Please allow up to 5 business days to receive a response to your request.
  • Please be as specific as possible with the information you provide in your request.

Your details

Event details










Please tick one that you feel is the most appropriate for your needs.






 – Detecting cancer earlier gives you the best chance of treating it successfully. Find out more about cancer screening programs, HPV vaccination and detecting cancer early. This presentation can be tailored to cover a range of topics. Please specify which topics you would like to learn more about:







Please select all that apply.






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