Global Perspectives - Speaker Request Form

Rochester International Council

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Global Perspectives Program - Providing International Speakers
to Schools in Rochester

Speaker Request Form

Please fill out as completely as possible. This form must be received at least 3 weeks before your requested visit date. We will make every attempt to arrange an appropriate speaker. We will confirm this with you by telephone. Please contact us if you have any questions.

Teacher's Name School

Work Phone Number Home Phone Number

School Address:
Please provide detailed directions to your location from the U of R or RIT area.

Grade/Age Level Group Size
Speaker has minutes for speaking,

Speaker has minutes for discussion.

Countries Date & Time of Visit Topics to Cover

1.

2.

3.

4.

5.

An early return will help to insure an effective match between your request and speaker.

Rochester International Council
Morey Hall, Room 229, University of Rochester Rochester, NY 14627 USA
phone (585) 275-8779 fax (585) 756-8086 e-mail: jw@rifc.org
Office Hours: 10:30 am to 4:30 pm Eastern Time, Monday-Friday,
closed Thursday

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