Event Speaker Suggestion Form
Requestor's Name
*
First Name
Last Name
Requestor's Email
*
example@example.com
Requestor's Phone Number
*
Please enter a valid phone number.
Learning Outcomes of Event
*
Thinking Skills - using a variety of inquiry methods, resources, and reasoning skills, that support and promote lifelong learning.
Communication Skills - conveying of ideas using one or more methods of expression (written, oral, signed).
Diversity and Global Awareness - an understanding and appreciation of diverse cultures, values, beliefs, and historical perspectives.
Ethical and Civil Values - a better understanding of oneself and others in order to clarify individual and societal responsibilities, needs, and values.
Other
Event Speaker's Name
*
First Name
Last Name
Event Speaker's Email
*
example@example.com
Event Speaker's Phone Number
*
Please enter a valid phone number.
Have you reached out to the Event Speaker?
*
Yes, we have spoken about event and confirmed
Yes, I have mentioned event to Event Speaker but have not confirmed
No, I have not spoken or mentioned event to Event Speaker
Other
Select preferred event location
*
Lone Tree Campus
Fourth Street Campus
Page Campus
Zoom Webinar
Provide Day(s) and Time(s) Event Speaker is available to attend event
*
Submit
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