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If you are a Mason faculty or staff member 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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Title
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Department
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Campus Mail Stop
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Direct Campus Phone
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Campus Fax
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Department Phone
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Home Phone
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Cell Phone
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E-Mail Address
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Direct Supervisor
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Direct Supervisor's Mail Stop
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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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