Webinar Speaker Interest Form
Please fill out this form to indicate your interest in presenting for the 2024 CURC webinar series. 
Sign in to Google to save your progress. Learn more
Name *
Email *
School *
Position/Title
School location
Clear selection
Type of School
Clear selection
School program (Choose the one that your school primarily falls under)
Clear selection
Type of education
Clear selection
Size of school
Clear selection
Please mark if your program is from a historically marginalized institution
Clear selection
Office Type
Clear selection
Office Staff size
Clear selection
Please select the webinar topic(s) for which you would like to present. (Dates are TBD) *
Please provide a summary of the program you wish to present on including how it relates to the webinar topic, successes, challenges and resources you have used on your campus. *
Will student involvement be highlighted in your presentation? If so, please explain how.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of College and University Recycling Coalition (CURC).

Does this form look suspicious? Report