Request Guest Speaker
To request a guest speaker from the Employee Ownership Speakers Bureau, submit this form.
Sign in to Google to save your progress. Learn more
Do you have a preferred guest speaker?
Clear selection
If yes, which individual(s) do you request?
Preferred date and time
Alternate date(s) and time(s)
Length of presentation
What would you like the speaker to talk about? What do you want your students to learn? Do you have preferences re: format (e.g., lecture, discussion, or combination)?
Name of class
Name of department and university
Number of students
Any other notes / questions / requests?
Your name and email address
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy