MESSINA SPEAKER REQUEST FORM
PLEASE NOTE: Use this form ONLY when requesting a speaker from the Office of International Program for a Messina Event/Class. To request a representative from the Office of International Programs to speak at your event / give a presentation, please complete the form below. ONE DATE/EVENT PER FORM. Please submit all requests at least two (2) weeks in advance of your event. Incomplete forms may not be processed. Questions? Contact Tremaynne Parham at tparham@loyola.edu.
Email address *
Your Name *
This will be our point person for your group
Your answer
Your Group's Name *
Please indicate your role in this Messina class. Also include the names of Faculty, Mentor and Evergreen members.
Your answer
Date Of Your Event *
Be sure your request is being submitted AT LEAST 2 WEEKS PRIOR TO THE DATE OF YOUR EVENT. Requests submitted inside of 2 weeks may not be considered.
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Location Of Meeting / Event *
Please be specific, i.e. Flannery 427
Your answer
Time And Duration Of This Event *
Please include the following: event start & end time, length of our portion of the presentation, and what time we should arrive.
Your answer
What Topics Related To Study Abroad Would You Like Covered In This Presentation? *
Your answer
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