UW Faculty Speaker Request Form

UW faculty speaker requests for Founders' Day and other enrichment events must be made in coordination with WAA. Faculty requests should be received 12 weeks in advance of the projected event date. Event dates need to occur during the academic year (September-May). Please contact your WAA representative prior to submitting this form.
Our group has discussed this request with our WAA representative.*
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Select Your Group*
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Event Contact
Name*
First*
Last*
Email*
Phone
Please provide a brief description of the event you are planning:*
Please list any UW faculty speakers your group is interested in:*
Please list any topics of interest:*
What is the first preferred date for your event*
What is the second preferred date for your event
What is the third preferred date for your event
Do you have any questions or comments you'd like to share with us?

Please complete all required (*) fields and correct any error(s) above.