Thank you for applying to be a speaker with Hope's Voice. Once your application is received and reviewed a Hope's Voice representative will contact you.

Name  *

Address  *

City  *

State/Province  *

Zip Code  *

Country  *

Phone  *

Email  *

Gender 

Birth Date  *

Ethnicity 

Are you in school?  *
Yes
No

If you are in school, what courses are you studying? 

Are you working?  *
Yes
No

If you are working, what type of work do you do? 

Are you comfortable talking about your HIV & AIDS status?  *
Yes
No

What message would you bring to young adults about HIV & AIDS? 

Each speaker tells their experience with HIV & AIDS. In 500 words or less, tell us your story.  *



Please email info@hopesvoice.com