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Faculty Speaker Request Form 2017-18
This form is for clubs to fill out if they are interested in hosting a faculty speaker from the College. Should you have any additional questions, please contact Lesley Robertson at lrobert3@wellesley.edu or Kelly Gallagher at kgallag2@wellesley.edu.
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Club Name:
Club Name:
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
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File upload
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Checkbox grid
Date
Time
Answer key
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Your name:
Your name:
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
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Checkbox grid
Date
Time
Answer key
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Question
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Dropdown
File upload
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Checkbox grid
Date
Time
Option 1
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add "Other"
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Class year:
Class year:
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Short answer
Paragraph
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Dropdown
File upload
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Checkbox grid
Date
Time
Answer key
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Club board Position:
Club board Position:
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Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
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Preferred Faculty Speaker:
Preferred Faculty Speaker:
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Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
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Multiple choice grid
Checkbox grid
Date
Time
Answer key
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Preferred Date(s):
Preferred Date(s):
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Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
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Multiple choice grid
Checkbox grid
Date
Time
Answer key
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Time of Event
Time of Event
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
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Multiple choice grid
Checkbox grid
Date
Time
Morning
Afternoon
Evening
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or
add "Other"
…
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Expected Number of Attendees:
Expected Number of Attendees:
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
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Multiple choice grid
Checkbox grid
Date
Time
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
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Event Location:
Event Location:
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Paragraph
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File upload
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Date
Time
Answer key
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