Dartmouth Speaker Request Form

Would you like a member of the faculty, board of trustees, senior administration, or coaching staff to speak at an event you're planning for your alumni organization? Use this form to let the Alumni Continuing Education Unit of Alumni Relations know what kind of presentation you're interested in. Please note: After submitting your request, please send a brief email to Alumni.Continuing.Education@Dartmouth.edu noting that a request was submitted. Thank you.

Your name:

Your preferred phone number
and email address:
Name of your alumni organization:
Projected date(s) of event:
Possible topics: List specific topics or general academic areas your organization is interested in, or let us surprise you!
Possible speaker: Please give us the name of the speaker or department you're specifically interested in; name more than one if you'd like. Or leave the decision making to us.
Please share your ideas about this event. Would you like a PowerPoint? Or something less formal, such as an after-dinner talk? Will there be other speakers? Are you organizing this event to coincide with a regional event?
Tell us what you're hoping for/planning on.

Tell us about your likely audience.
What Dartmouth speakers have your organization members already heard? What went over well? Are they interested in a follow-up on a past subject or looking for something new?

Venue: Have you chosen a space for your event?  If so, please identify it for us.
Primary contact info: Please provide the name, phone, and email of the primary contact for the event, if not you.