Speaker Suggestion Form

• About you

• Name

  Name * First Last
• Email *
• Phone

  Phone * - ### - ### ####
• What is your relation to CMC?
  What is your relation to CMC?

  Student Faculty Staff Alumni Parent/Grandparent/Guardian Other Other

• About the speaker

• I am suggesting myself
• Name

  Name * First Last
• Email
• Phone

  Phone - ### - ### ####
• Tell us why you believe this person would be a good speaker to have at the Athenaeum.
• What might the person's talk be about?
• Under which of the following categories would this person fall? Please choose at least one.
  Under which of the following categories would this person fall? Please choose at least one.

  Adventure/Exploration Architecture Art/Design/Literature Business/Economics Food/Agriculture Education Environment Law/Human Rights Media/Entertainment Music Religion/Spirituality Science/Medicine Social Sciences Sports Technology Other Other
• Please provide links to any articles or web pages about the speaker.
• Do you know this person personally? It's OK if you don't.
  Do you know this person personally? It's OK if you don't.

  Yes No