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
This will be our point person for your group
Your Group's Name
Please indicate your role in this Messina class. Also include the names of Faculty, Mentor and Evergreen members.
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.
Location Of Meeting / Event
Please be specific, i.e. Flannery 427
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.
What Topics Related To Study Abroad Would You Like Covered In This Presentation?
Send me a copy of my responses.
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service