Guest Speaker Form - School of Engineering

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Campus Visitor Form

If you are planning to bring a guest speaker to campus, please fill out the information below.

Name of Submitter(*)

Please type your full name.

E-mail(*)

Invalid email address.

Event Name(*)

Please type your full name.

Location of Event(*)

Please type your full name.

Date and time of the event(*)

Please include a date (dd/mm/yy) and time (if known) for the event.

Description of Event (include expected attendance, if known)

Invalid Input

Name of Visitor(*)

Please type your full name.

Visitor's Company(*)

Please type your full name.

Visitor's Email(*)

Invalid email address.

UAB Alumni?(*)

Please tell us how big is your company.

Please indicate if you would like a small gift from the school to be made available for this visitor (based on availability).(*)

Please tell us how big is your company.

(*)

Invalid Input

For questions about this form or to add additional information, contact Sarah Gulledge at sarahmg@uab.edu.