Speaking Request
Is there a specific CRC team member you are requesting, or is this a general inquiry?
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Name of Institution or Organization
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Topic of Meeting or Event
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Date
MM
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DD
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YYYY
Time
Time
:
Location of Meeting or Event (Street Address, City, State, Zip Code)
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Agenda (Please provide a link if possible)
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Attire
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Setting ( i.e. is this a reception; will there be a podium):
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Who will be introducing the speaker?
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Length of Speech
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Speaker Order (if others are speaking)
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Estimated size of Audience/Description of Audience
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Name of Event Coordinator
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Event Coordinator's Telephone Number
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Event Coordinator's Email Address
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Organization's Website
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Other Information
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