Alumni Classroom and Event Speakers

Faculty/Staff Information

**Requests will be honored if form is filled out with 48 hours advance notice of visit**

First Name

Last Name

Email Address

School

About The Visit

Name of Class/Event

Please share the topic(s) they will be speaking to while on-campus.

Visit Date

Class/Event Start Time

Room Location (if applicable)

Speaker Information

How many guests will be attending this visit?

Guest 1

Speaker First Name*

Speaker Last Name*

Speaker Maiden Name (if applicable)

Speaker Title or Position

Speaker Organization

Is your guest a Rockhurst/SLCNHS alumnus?

Yes

No

If known, what year did the alumnus graduate?

Do you have an email address you've been using to reach this guest?

Guest 2

Speaker First Name*

Speaker Last Name*

Speaker Maiden Name (if applicable)

Speaker Title or Position

Speaker Organization

Is your guest a Rockhurst/SLCNHS alumnus?

Yes

No

If known, what year did the alumnus graduate?

Do you have an email address you've been using to reach this guest?

Guest 3

Speaker First Name*

Speaker Last Name*

Speaker Maiden Name (if applicable)

Speaker Title or Position

Speaker Organization

Is your guest a Rockhurst/SLCNHS alumnus?

Yes

No

If known, what year did the alumnus graduate?

Do you have an email address you've been using to reach this guest?

Guest 4

Speaker First Name*

Speaker Last Name*

Speaker Maiden Name (if applicable)

Speaker Title or Position

Speaker Organization

Is your guest a Rockhurst/SLCNHS alumnus?

Yes

No

If known, what year did the alumnus graduate?

Do you have an email address you've been using to reach this guest?

Alumni Classroom and Event Speakers

RESOURCES

I WANT TO:

SCHOOLS