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LEAD Scholarship
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Faculty Forum Speaker Application
Speaker Information
First Name
Last Name
Title and Department
Email
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Address
Address 2
City
State/Province/Region
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Country
Please select...
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
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Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos ( Keeling ) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Côte d ' Ivoire
Croatia ( Hrvatska )
Cuba
Cyprus
Czech Republic
Congo ( DRC )
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands ( Islas Malvinas )
Faroe Islands
Fiji Islands
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
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Haiti
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Honduras
Hong Kong SAR
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Indonesia
Iran
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Jamaica
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Liberia
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Madagascar
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Are you a current member of the Alumni Association? (Membership is required prior to speaking.)
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University of Michigan Degrees
*U-M Degree is not required to be a Faculty Forum speaker.
U-M School/College
Please select...
College of Engineering
College of Literature, Science, and the Arts
College of Pharmacy
Dearborn College of Arts, Sciences, and Letters
Dearborn College of Business
Dearborn College of Engineering
Dearborn Interdisciplinary Studies
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Michigania Speaking Experience
Have you previously spoken at Michigania?
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Have you spoken at other Alumni Association programs, such as club meetings, travel programs, alumni education seminars, etc.?
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Would you be interested in speaking at other Alumni Association programs?
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Presentation Content Info
Background and Area of Expertise
Please provide more detailed information on your background and area of expertise. Feel free to include website links as well. You may enter up to 500 characters.
Proposed Talk Title #1
Upload Abstract for Proposed Talk #1
Proposed Talk Title #2
Upload Abstract for Proposed Talk #2
Proposed Talk Title #3
Upload Abstract for Proposed Talk #3
Note: We will be contacting all prospective faculty speakers in October and November. If you have any questions, please contact
[email protected]
.
Date Preferences
Please select three week options when you are available to speak.
Date Choice 1
Please select...
Ring in the New Year (12/29/22 - 1/1/23)
Victors Week (6/10 - 6/17/23)
Week 1 (6/17 - 6/24/23)
Week 2 (6/24 - 7/1/23)
Week 3 (7/1 - 7/8/23)
Week 4 (7/8 - 7/15/23)
Week 5 (7/15 - 7/22/23)
Week 6 (7/22 - 7/29/23)
Week 7 (7/29 - 8/5/23)
Week 8 (8/5 - 8/12/23)
Week 9 (8/12 - 8/19/23)
Week 10 (8/19 - 8/26/23)
Date Choice 2
Please select...
Ring in the New Year (12/29/22 - 1/1/23)
Victors Week (6/10 - 6/17/23)
Week 1 (6/17 - 6/24/23)
Week 2 (6/24 - 7/1/23)
Week 3 (7/1 - 7/8/23)
Week 4 (7/8 - 7/15/23)
Week 5 (7/15 - 7/22/23)
Week 6 (7/22 - 7/29/23)
Week 7 (7/29 - 8/5/23)
Week 8 (8/5 - 8/12/23)
Week 9 (8/12 - 8/19/23)
Week 10 (8/19 - 8/26/23)
Date Choice 3
Please select...
Ring in the New Year (12/29/22 - 1/1/23)
Victors Week (6/10 - 6/17/23)
Week 1 (6/17 - 6/24/23)
Week 2 (6/24 - 7/1/23)
Week 3 (7/1 - 7/8/23)
Week 4 (7/8 - 7/15/23)
Week 5 (7/15 - 7/22/23)
Week 6 (7/22 - 7/29/23)
Week 7 (7/29 - 8/5/23)
Week 8 (8/5 - 8/12/23)
Week 9 (8/12 - 8/19/23)
Week 10 (8/19 - 8/26/23)
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