Name *

First Name

Last Name

Guidelines: *

I'll give a 20 min lecture about something that isn't my job, practice, or main area of focus. I'll see you at 5:30 on my Lecture Night!

Invitation: *

I'll send out the invitation RSVP to 15 people! (I understand this will be texted to me once I hit "Submit" on this form.)

Lecturer Questionnaire: *

I'll fill out the Lecturer Questionnaire at least 3 days prior to my lecture! (I understand this will be texted to me once I hit "Submit" on this form.)