Arctic Visiting Speakers Series | Forms

Speaker Profile Form

Step 1: Fill out the initial online form below.

Step 2: After you submit the initial online form, you will receive an e-mail with additional questions. To complete the speaker profile form, reply to the additional questions in the e-mail and return the completed e-mail form back to the sender, avs@arcus.org.

* Indicates a required field
First & Last Name *
 Institution / Organization *
Home Address

 City
State
 Zip Code
Daytime phone *
 E-mail address *
FAX#
 URL/Website
Indicate which audiences you are interested in addressing:
Academic audiences:
yes   no

 
Graduate seminars:
yes    no

 

General public:
yes    no

 
School Audiences:
(elementary, junior high, high school)
yes    no 		 
Are you generally not available at a specific time of year? If so, what time of year are you unavailable?

Upon pressing the Submit button, you will see a confirmation web page and you will soon receive a confirmation e-mail that will contain a request for additional information. Once you have submitted the additional information requested in that e-mail, your speaker profile submission will be complete.

Please note: Once submitted, this information will be made available to potential host organizations on the ARCUS web site. You may withdraw or modify the information at any time by notifying ARCUS.