Speakers Bureau Program

Program Request Form

Club/Group:
Contact:
Telephone:
E-mail:
Specific speaker requested:
First choice:
Topic:
Second choice:
Topic:
Third choice:
Topic:

We are interested in a program on the following topics.
Please recommend a speaker:

First choice:
Second choice:
Third choice:
Specific date for program:
Possible date for program:

Type of program:
	Weekend	Midweek	Specific day
	Luncheon/talk	Dinner/talk	Evening program
	Morning program	Afternoon program	Other

Accommodation/meal expenses for speaker:
	Club will cover
	Club would like to discuss the possibility of financial assistance from the Association

Additional comments:

The Alumnae Association will contact the Club/Informal Group contact person when the request has been processed. To ensure this form is received, please enter submit on this page as well as the next page.

Through the labor of self-discovery, we learned the value of supporting one another, of listening instead of always speaking, of standing up for ourselves and others, of seeing each glitch in our path as an opportunity for a new beginning. Along the way we became women together, every one of us a strong, unique, and empowered individual.
—
Sara Rose Curtin ’02, student commencement address, 2002