Speaker Series Club Request Form - University High School
By filling out this form your club will be able to apply to be given the chance to have a speaker come to our school.

In order to be considered for selection, please take the time to fill out the form below to the best of your ability. If selected, you will be assigned to either the Big Theater, Small Theater, or MPR (based on availability).

Thanks for your interest in bringing a unique speaker to our campus, and good luck!

Club Name
Your answer
Club President Name
Your answer
Club President Email
Your answer
Club Advisor
Your answer
Speaker Name
Your answer
Requested Date
MM
/
DD
/
YYYY
List the main topic of the Speaker Series. (e.g. Arts, STEM, Humanities, Entertainment)
Your answer
Tell us about the Speaker.
Your answer
Briefly tell us about your club.
Your answer
List the club's goal(s) when bringing this speaker to our campus.
Your answer
Submit
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