MESSINA SPEAKER REQUEST FORM
PLEASE NOTE: Use this form ONLY when requesting a speaker from the Office of International Program for a Messia 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. 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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