Speaker's Bureau Request Form

Proposed Name

Sponsoring Club/Organization

Proposed Event Date Secured Venue

Has the speaker been to Skidmore before?: NO YES

Background:

*Please indicate any relevant information, including but not limited to : job title/position, publications (that the presenter has appeared in and/or authored), and locations of previous presentations.

Who will attend?

Advertisement (both on and off campus)

Expenses

List co-sponsoring clubs/organizations, academic departments and/or offices:

Total Request of Speaker's Bureau: $

Your email:

Before making this request, we ask that you have done the following:

1. Ask other departments and offices for money.
2. Check availability for inteded space.
3. Checked for conflicting events.
4. Asked whether or not the speaker can talk with students or visit a classroom.

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Thank You!