ACM LECTURESHIP SERIES

LECTURER REQUEST FORM (rev. 8/03)

FOR USE BY: ACM Chapter
SUMMARY: This form is used when requesting a lecturer. Please complete and send a copy to the lecturer. Once the lecturer receives the form, he or she will contact you to complete the arrangements. Once there is agreement, the lecturer will contact the Lectureship Coordinator at ACM HQ to get final approval and funding.

NOTES:
(1) Please pay special consideration to items marked with an asterisk as they are weighed heavily in considering this request.

(2) It is now mandatory for chapters to complete and submit the attached LECTURER EVALUATION FORM after the lecture. Failure to submit the Form will result in forfeiting the opportunity to invite other Lecturers to their chapter.

(3) ACM Headquarters will send out notices to ACM chapters, both student and professional, in surrounding areas within a half hour drive.

HINTS: Lecturer Requests which are (a) part of a local or regional tour of several lectures, (b) well advertised, and (c) will reach a large audience, will usually receive the highest priority. Please develop your visiting lecture program carefully with these things in mind.

1. LECTURER INFORMATION:

 
 a. Name of Lecturer: 
    
 
 b. Title of Lecture: 
    
 
 c. Suggested Dates:

2. CHAPTER INFORMATION:


 a. Chapter name: 
    
 
 b. Chapter officer (and office) filing request: 
     
 
 c. e-mail: 
    
 
 d. phone: 
    
 
 e. mailing address: 
     
 
 f. Lecturer's contact (name/phone/Email) if different 
    than above:

3. EVENT INFORMATION (important):


 a. How and to whom do you plan to advertise the lecture? 
     

 b. Expected attendance: 
     

 c. Other Local or Regional Chapters with whom you are willing 
   to coordinate a lecture tour (2-4 stops).  List names,e-mail 
   and phone of chapter contacts.
     

 d. Will your chapter cover local expenses? (e.g., inter-city 
   travel, lodging and meals)  
     

 e. Zip Code Ranges: To  From 

 f. Scheduled time and date of Lecture:
    

 g. Room Capacity:
    

 h. Parking Instructions:
Association for Computing Machinery Lectureship Series
This page was last modified on August, 2001.