MESSINA SPEAKER REQUEST FORM
PLEASE NOTE: Complete this form ONLY when requesting a speaker from the Office of International Program for a Messina Event/Class. ONE 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 *
Date Of Your Event *
Be sure your request is 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.
Time And Duration Of Your Event *
Please include the following: event start & end time, length of our portion of the presentation, and what time speaker should arrive.
Your Name *
You will be our contact person for the group.
Your Group's Name *
Please indicate your role in this Messina class (Evergreen, Faculty, Mentor). Also include the names of other Faculty, Mentor and Evergreen members.
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