ADM: External Speaker Request 2019

External Speaker Request Form

Add a speaker to your event!
Only complete this form if you already have submitted a space booking request and wish to add an external speaker to the booking.

All external speakers must be requested a minimum of 14-days prior to an event. It is advised that you have all information ready related to your any external speakers who may be attending, as this form cannot be saved before submission. Please be aware that you cannot advertise for an external speaker until you have recieved approval from the Students' Union for their attendance.

No speaker is permitted to attend until they have been approved and an email is sent to the event organizer confirming this.
Person or Group Classification *
Who is making the request?
Group/Organisation Name Requesting Speaker *
Examples: Harry Potter Society, LBSU Volunteering, etc.
Name of Organiser *

First Name Last Name
Contact Email *
example@example.com
BE AWARE: Societies must use their official society email for all communications. Only a society committee member may request to book a speaker.
Student ID/Staff Number *
Has your space booking request already been confirmed?

Yes No
SU Booking Code from space booking request *
This can be found in your confirmation email.
Date Speaker is Requested to Attend *

Day Month Year
If you have multiple dates, please fill out additional forms as neccessary. Date Picker Icon
Event Location: *

City Campus Headingley Campus
Number of attendees (Approx) *
Please be as accurate as possible.
Is the event private or public?: *

Private - Members/Invitation Only Public - Open to General Public

Speaker Details

Who, what, when, ... all the important stuff.
An external speaker is defined as any person who is not currently enrolled as a Leeds Beckett student or who is not currently employed as a Leeds Beckett University staff member. If your speaker is a currently enrolled student or is a staff member such as a lecturer, you do not need to complete this form.
Name of Speaker *

First Name Last Name
Speaker's Email for Contact *
example@example.com
Subject of Talk *
Please provide as much detail as possible.
Organisations/Groups Speaker is Affiliated With: *
Especially where these are political or religious connections.
To Your knowledge, has the speaker or subject of talk attracted any controversy in the past? *

Yes No
Please provide details: *
Be as specific as possible.
Do you expect the event or speaker to attract any media interest? *

Yes No
Please provide details: *
Be as specific as possible.
Please provide links to any internet sources about the guest speaker, such as Facebook, Twitter, news reports, professional pages, etc.: *
You you have any additional external speakers attending this event? *

Yes No
Name of Speaker *

First Name Last Name
Speaker's Email for Contact *
example@example.com
Subject of Talk *
Please provide as much detail as possible.
Organisations/Groups Speaker is Affiliated With: *
Especially where these are political or religious connections.
To Your knowledge, has the speaker or subject of talk attracted any controversy in the past? *

Yes No
Please provide details: *
Be as specific as possible.
Do you expect the event or speaker to attract any media interest? *

Yes No
Please provide details: *
Be as specific as possible.
Please provide links to any internet sources about the guest speaker, such as Facebook, Twitter, news reports, professional pages, etc.: *
You you have any additional external speakers attending this event? *

Yes No
Name of Speaker *

First Name Last Name
Speaker's Email for Contact *
example@example.com
Subject of Talk *
Please provide as much detail as possible.
Organisations/Groups Speaker is Affiliated With: *
Especially where these are political or religious connections.
To Your knowledge, has the speaker or subject of talk attracted any controversy in the past? *

Yes No
Please provide details: *
Be as specific as possible.
Do you expect the event or speaker to attract any media interest? *

Yes No
Please provide details: *
Be as specific as possible.
Please provide links to any internet sources about the guest speaker, such as Facebook, Twitter, news reports, professional pages, etc.: *
You you have any additional external speakers attending this event? *

Yes No
Name of Speaker *

First Name Last Name
Speaker's Email for Contact *
example@example.com
Subject of Talk *
Please provide as much detail as possible.
Organisations/Groups Speaker is Affiliated With: *
Especially where these are political or religious connections.
To Your knowledge, has the speaker or subject of talk attracted any controversy in the past? *

Yes No
Please provide details: *
Be as specific as possible.
Do you expect the event or speaker to attract any media interest? *

Yes No
Please provide details: *
Be as specific as possible.
Please provide links to any internet sources about the guest speaker, such as Facebook, Twitter, news reports, professional pages, etc.: *
You you have any additional external speakers attending this event? *

Yes No
Name of Speaker *

First Name Last Name
Speaker's Email for Contact *
example@example.com
Subject of Talk *
Please provide as much detail as possible.
Organisations/Groups Speaker is Affiliated With: *
Especially where these are political or religious connections.
To Your knowledge, has the speaker or subject of talk attracted any controversy in the past? *

Yes No
Please provide details: *
Be as specific as possible.
Do you expect the event or speaker to attract any media interest? *

Yes No
Please provide details: *
Be as specific as possible.
Please provide links to any internet sources about the guest speaker, such as Facebook, Twitter, news reports, professional pages, etc.: *
External Speaker Agreement / Terms & Conditions

All the rules and regulations
No event involving any external speakers may be publicised until the speaker has been cleared through the appropriate procedures. You will be notified if your speaker request has been approved.

As the event organiser, it is your responsibility to inform your external speaker of the External Speaker Agreement.

The Students' Union reserves the right to cancel or prohibit any event with an external speaker if the procedures are not followed in accordance with the external guest speaker procedure below:
Leeds Beckett Students’ Union (LBSU) supports the culture of academic freedom on campus and encourages open debate towards the development of students’ ideas and understanding.

LBSU has a responsibility to ensure the safety and welfare of students and the general public. All events organised by student groups intend to balance freedom of expression with freedom from harm and prevent speakers who incite hatred, violence or law breaking.

By attending an LBSU event your group and your external speaker agree to abide by the Union’s policies and regulations, the legislation that protect individuals and groups from intimidation, discrimination and harassment and to be respectful of the beliefs and opinions of others.

In particular:
- It is not permitted to encourage, glorify or promote any acts of terrorism including individuals, groups or organisations that support such acts.
- It is not permitted to incite hatred, violence or call for the breaking of the law.
- It is not permitted to spread hatred and intolerance or promote disruption of social and community harmony.
- Care must be taken not to insult other faiths or groups.
- It is not permitted to raise funds for any external organisation or cause without express permission of Leeds Beckett Students’ Union.
- Any instructions from event organisers, LBSU staff or University security must be followed.
- Any breach of LBSU's policies may result in disciplinary or further action being taken. This may restrict the ability of student groups to organise future activities and events.
LBSU reserves the right to contact the external speaker directly for the purpose of sending a copy of the agreement details.
As the organiser of the event, I have read, understood, and agree to the LBSU External Speaker Agreement above. I will notify the external speaker of the terms and conditions as they are detailed. *

Clear
Printed Name *

First Name Last Name
Today's Date *

Day Month Year
Date Date Picker Icon
Should be Empty:

External Speaker Request Form

Speaker Details

External Speaker Agreement / Terms & Conditions