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
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.
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.
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.
Send me a copy of my responses.
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