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PWS Host Seminar Form
Thank you for taking the time to fill out this form! The information requested is collected so that we can better prepare for helping speakers with travel and financial planning.
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Hosting Faculty's Name:
*
Choose
Dr. Zach Aanderud
Dr. Ben Abbott
Dr. Phil Allen
Dr. Loreen Allphin
Dr. Val Anderson
Dr. Matt Arrington
Dr. John Chaston
Dr. Craig Coleman
Dr. Paul Frandsen
Dr. Brad Geary
Dr. Neil Hansen
Dr. Bryan Hopkins
Dr. April Hulet
Dr. David Jarvis
Dr. Rick Jellen
Greg Jolley
Dr. Randy Larsen
Dr. Matt Madsen
Dr. Jeff Maughan
Dr. Brock McMillan
Dr. Steve Petersen
Dr. Todd Robinson
Dr. Tom Smith
Dr. Sam St. Clair
Dr. Ryan Stewart
Travel Pre-Approval Number:
*
Your answer
Type of seminar:
*
Department Seminar
College Seminar
Class Seminar
Class number, if class seminar:
Your answer
Seminar speaker's name, including their title (Dr., Miss, Mrs, Mr.):
*
Your answer
Date of Presentation:
*
MM
/
DD
/
YYYY
Speaker's email:
*
Your answer
Speaker's phone number:
*
Your answer
Company/School affiliation:
*
Your answer
Honorarium ($400 for Department Seminars and $500 for College Seminars):
*
Yes
No
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