American Statistical Association
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Speaker's Bureau Application
First Name *
Last Name *
Email Address *
Job Title *
Brief Bio *
Indicate the general topics you would be willing to present. *
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Indicate the statistical topics you would be willing to present. *
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Use this space to provide additional information on your topical presentation.
Indicate audiences to which you would be willing to present *
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Geographic Availability *
In general, when are you available? *
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