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 chapters.relations@interalliance.org.

Contact Name *
Your answer
Contact Email *
Your answer
School Name *
Your answer
School Address *
Your answer
Room Number
Your answer
Is there any security the speaker would have to go through?
Your answer
What date and times are you available? (Ex: 01/15 from 3 pm to 6 pm) (First Choice) *
Your answer
What date and times are you available? (Second Choice) *
Your answer
What date and times are you available? (Third Choice) *
Your answer
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?
Your answer
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