Speaker Request Form

The sponsoring organization is responsible for full compliance with regulations governing speech and assembly which can be found in the Student Handbook. This form must be submitted at least 14 days prior to the date of the proposed speaking engagement.

All fields marked with an asterisk (*) are required.

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Registered Student Organization (RSO) name*

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Today's date*

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Name of person making this request*

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Email address of person making this request*

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Phone number of person making this request*

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Date and day of event*

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Beginning time / ending time*

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Event location*

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Expected audience size*

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RSO president name*

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Phone number of RSO president*

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Email of RSO president*

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Name of faculty / staff advisor*

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Phone number and email address of faculty / staff advisor*

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Are you requesting for the Student Organization & Leadership Fund (SOLF) to pay for any part of this program?*

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Has the SOLF application been approved. If so, how much funding was approved?*

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Proposed speaker of the program*

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Proposed speech title*

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Purpose of the program*

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List the credentials of the speaker including any degrees or certifications.*

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Provide the link to the speaker's website.*

Link (required)