Campus Speaker Participation Form

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Participation Profile

Welcome back to class! Thank you for signing up to inspire, motivate and build a pipeline of the next generation of marketing leaders.

By completing this form, you acknowledge that you intend to speak at a paired college or university during the Fall/ Spring academic semester (August-December/ January-May). In the event your work plans change and you can no longer make the mutually-agreed upon scheduled visit, you will designate a colleague to attend in your stead.

Step 1: Complete this form

Step 2: Look out for an email with resources and next steps

Step 3: Be prepared to be matched with a host professor beginning early January or later

Personal Information
Professional Information
Select any ANA Growth Agenda area(s) of focus to be presented.
Contact Name and Email of Person Responsible for Scheduling
Institutional Information
Select how you're able to present in the classrooms. More than one option can be selected.
If your alma mater is not listed here or is not a U.S. based institution, select "Other."
If there are any additional cities or states you can visit on campus, list them here. You do not need to include cities/states where you live or work.
Connection Information
Please provide any additional information, ie vacation, holiday or travel dates to avoid, etc.