ACM LECTURESHIP SERIES 

LECTURER REQUEST FORM (rev. 8/01)

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.

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

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.

MANDATORY: 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.

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)

Send completed form directly to ACM Lecturer.

ACM LECTURESHIP SERIES LECTURER EVALUATION FORM (rev. 8/01) 
FOR USE BY:  ACM Chapter 
PURPOSE:  This evaluation helps the Lectureship Series ensure 
that the lectures continue to meet the needs of your members.  

1. LECTURE INFORMATION:
 
a. Name of Lecturer:
b. date of lecture:
c. title of talk:
d. audience size:

2. CHAPTER INFORMATION:

a. Name of Chapter:
b. Chapter Contact: (name and either e-mail or mailing address)
c. Person preparing this form: (if different than b.) 

3. EVALUATION OF LECTURER:
(rate a-d as: Excellent, Good, Fair, Poor or n/a)

a. technical content:
b. presentation:
c. quality of audio/visual material:
d. overall:

e. additional comments

SEND COMPLETED FORM TO: 

    lectureship@acm.org
       -- or --
    Association for Computing Machinery
    attn: Lectureship Series
    1515 Broadway
    New York, NY 10036
    vox: (1)-212-869-7440
    fax: (1)-212-944-1318