Arctic Visiting Speakers Series | Forms

Visiting Speakers' Application

Please fill out the form below to apply to host an Arctic Visiting Speaker. Applications are accepted on an ongoing basis, depending on funding availability. For details on the program, please review the host information. If you encounter problems with this form, please copy the questions below into the body of an e-mail and submit your completed application to : avs@arcus.org.

* Indicates a required field
First & Last Name *
 Organization
Address

 City
State
 Zip Code
 Country
Phone *
 E-mail *
Fax
 Website
Purpose of your organization
If this is a joint application, contact name and address of partner organization(s)

Please identify the speaker you would like to host. You may use the Speakers’ Bureau to find an appropriate speaker or you may apply to invite a speaker of your choice.

Speaker's Name


Speaker's E-Mail

Desired lecture topics


Dates of proposed visit

Why do you wish to host this speaker?

Anticipated number of people participating in the visit and composition of audience (e.g., faculty, students, organization members, general public).

Describe activities that the Speaker would be involved in during the visit (e.g., graduate seminars, community workshops, school presentations, radio interviews, public lectures). Please be sure to include public or K–12 outreach components.

How do you plan to advertise the Speaker’s tour (e.g., flyers, listserve, newspaper)?
Upon pressing the Submit button, you will see a confirmation web page and you will soon receive a confirmation e-mail that will include the information you have submitted.