GSTILE Speaker Series Please use this form to submit a request for a speaker series event. 1 Start 2 Room Indication 3 Preview 4 Complete Name * Enter the name of the contact person for this event Email Address * Enter the email address of the contact person for this event Name of Speaker * Date * Date of Event Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20212022202320242025 Start Time * Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm End Time * Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm Open to the Public? * Yes No Will the be a reception following the event? * Yes, I will be organizing the reception Yes, I will need help from GSTILE in organizing the reception No Title of Presentation * Event Description * (Max. 400 characters) Speaker Bio * Please include a brief biography of the speaker. (max. 400 characters) Photo of Speaker * Please attach a headshot-style photo of the speaker.Files must be less than 2 MB.Allowed file types: gif jpg jpeg png. Room * I have already reserved a room I need a room reserved Expected Number of Attendees * What language(s) will be spoken at the event? * Please list the languages the speaker(s)/presenter(s) will use. Would you like/allow interpretation? * Events on campus are often a good opportunity for 2nd year Interpreting students to practice their skills. Would you be amenable to/interested in having students interpret your event? Yes, I would allow interpreting Yes, I would like interpreting No Leave this field blank
