ORIAS Speakers Bureau: Invite Ghaleb Attrache
Thank you for inviting Ghaleb to your classroom! Please answer the questions below to be put in touch with this speaker. 
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First Name *
Last Name *
email *
phone number *
School Name *
School Address *
Please confirm the name of the speaker/talk you are trying to schedule *
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What is your first choice date for the speaker to come to your class(es)? *
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What is your second choice date for the speaker to come to your class(es)?
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What is your third choice date for the speaker to come to your class(es)?
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What time would you like the speaker to come to your class(es)? (Please indicate the start time for the first class section if requesting multiple presentations). *
Time
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What age are your students? *
What is the course in which you'd like the speaker to present? *
How many class sections would you like the speaker to address? *
Approximately how many students will the speaker address? *
total for all requested class sections
What will you provide for the speaker? Check all that apply. *
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Please check the boxes below to indicate that you agree to: *
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