Request for Speaker Form - William J. Hughes Center for Public Policy

Thank you for your interest in having a Hughes Center speaker at your event. Please complete and submit the following form at least *2 weeks prior to the event. If you have any questions, please contact the Hughes Center at (609) 652-3542.

Name of Organization Submitting Request*

Your Name*

Title

Email*

Phone

Event Name/Title*

Event Date/Time*

Description of the Event*(Size/make up of audience, AV equipment available, etc.)

Requested Speaker(if available)

Requested Topic(s)*

Expected Duration*(30 minutes, 1 hour, etc.)

Question and Answer Session*

Yes

No

*Subject to professor’s availability