Guest Speaker Form

Thank you for participating in the Questrom Speaker Acknowledgement Initiative. Filling out this form (at least 1 week in advance) enables you to:

Arrange a parking pass (for Warren Towers; 2 weeks' notice required for the Hariri lot)
Announce the speaker on the Atrium screens
Assign a Dean's Host
Generate an acknowledgement certificate
Send a thank-you e-mail from the Dean

Guest Name*

Prefix First Last Title

Affiliation*

Sponsor/Faculty Name*

First Last Title

Sponsor/Faculty Email*

Event Type*

Course Name*

Department Number Section Name

Sponsor and Event*

Date*

Start Time*

: HH

MM

End Time*

: HH

MM

Location/Room Number*

Dean's Host Help

Requested

2 weeks’ notice is needed to ensure a Dean’s Host will be able to help with these visits.

Parking

Requested

A parking pass for the Hariri Building lot requires 2 weeks' notice. If there is only 1 week's notice, then the parking will be at Warren Towers. If there is less than 1 week, then parking can be requested but not guaranteed.