Request a speaker Speaker request form Heading link Copy link Class instructor's name * Required First Last Email * Required SPH division or program * RequiredCHSDrPHEOHSEpi/BioHPAUndergradCourse title * Required What students are in this course? * RequiredCheck all that apply. Undergraduate MPH Doctoral Medical students Other How will the speaker attend?In-personVirtualTo be determinedHow long will the speaker join your course? * RequiredThis helps determine compensation.Less than 30 minutes30-60 minutes60-90 minutesTo be determinedSpeaker topic * RequiredPlease share some information on the class session topic and/or the topic you would like the speaker to address.Anything else you would like us to note? Δ