Speaking Request

Speaking requests must be received at least 30 days prior to the event. Requesting person will be contacted within 10 business days of receipt of request.

Date of Request*
Name of Requesting Person*
First Last
Department/Organization*
Phone*
Email*
Date of Event*
Event Start Time*

: HH

MM
Event End Time*

: HH

MM
Type of Event*
Location of Event*
Required Remarks*
- Keynote Speaker
- Welcome
- Remarks
Suggested Length of Remarks*
Name and Title of Person Introducing Dr. Becker*
Prefix First Last Suffix
Who is the Audience?*
Expected Number of Attendees*
VIPs to be Recognized in Remarks*
Additional Information*
Please include detailed talking points that Dr. Becker is requested to cover in these remarks. Note that the amount of content provided should correspond to the length of remarks requested.

Contact the 1913 Society

Contact

Mark Becker, Georgia State University President

Contact the 1913 Society

Contact

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