INTERalliance Speaker Request Form
Chapters, thank you for your interest in requesting a speaker. Please fill out the following form each time you request a speaker. You will need contact information, three available dates and times, and three topic choices. Note that programming languages (C++, C#, HTML and CSS, iOS, Python, Java, and SQL) will be workshop-based sessions (less lecture) where a professional can help with coding problems in previously determined projects. Please submit this form at least three weeks before your first available date to allow us to contact possible speakers.

Questions can be directed to chapter.relations@interalliance.org.
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Contact Name *
Contact Email *
School Name *
School Address *
Room Number
Is there any security the speaker would have to go through?
What date and times are you available? (Ex: 01/15 from 3 pm to 6 pm) (First Choice) *
What date and times are you available? (Second Choice) *
What date and times are you available? (Third Choice) *
What topic would you like to hear? Choose your first choice. *
What topic would you like to hear? Choose your second choice. *
What topic would you like to hear? Choose your third choice. *
Are there any additional comments relevant to the speaker event?
Submit
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