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If you are a Mason alumnus/alumna and would like to participate
in the Mason Speakers program, please complete the form
below. All speakers are involved on a volunteer basis. Speaking
engagements are made by the Office
of Community Relations and free of charge to community
organizations.
For more information about the program, or to notify us of a problem with submission of this form, please contact
Sarah Gallagher,
Mason Speakers Coordinator, via email
or by calling (703) 993-8761. |
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Name
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Graduation Year
(format: yyyy) |
Degree
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Company
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Title/Occupation
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Address where information should be
sent:
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Home Phone
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Work Phone
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Cell Phone
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Fax
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E-Mail Address
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Please submit a one-paragraph biography for introductions. |
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Biography
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To participate, please submit your topic title(s), minimum
time required, categories, A/V requirements, and a 1-2 sentence
description of each topic. Please remember that your title
should be phrased in such a way that it is appealing and
understandable to the general public. You will be prompted to add additional topics after you initial submission. |
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Topic Title
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Minimum Time Required
min. |
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Description (please limit to a short paragraph)
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Categories (check all that you wish
your topic to appear under) |
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A/V (check all that apply) |
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Please upload a picture to be included with your biography
on the Mason
Speakers web site. The filename should be comprised
of your first and last names (example: Joe_Smith.jpg).
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My picture is located on my web site. You may download and
use it on the Mason Speakers site. |
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I'm attaching a picture. |
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I will send a picture at a later date. |
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Click the "Browse" button to select the file
you wish to upload then click the button marked "Submit." |
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File:
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