Apply to Become a Council Spokesperson

Name:

Degree(s):

Position/Title:

Organization:

Office Phone:

Fax:

Name:

Email:

Have you had any formal media training in the past ? :

YesNo

If yes please describe type of training and when you took part in it:

Please indicate the areas of the media which you have experience with :

National TVNational RadioNational PrintNational OtherLocal TVLocal RadioLocal PrintLocal OtherOther

Please indicate the types of interviews that you are willing to participate in with the media :

(check all that apply) :

TVRadioEmail/Written CorrespondenceWebcastTelephone

Do you presently serve as a spokesperson for any other organisations? :

YesNo

If yes, which? :

Please indicate the topics which you feel comfortable with serving as an ITC Spokesperson for :

Area / Topic 1:

Area / Topic 2:

Area / Topic 3:

Area / Topic 4:

Area / Topic 5:

Area / Topic 6:

Do you speak any other languages (fluently) other than English? :

YesNo

If yes, which ? :

Please provide a 200-300 word biography (correctly written in English language) :