Speakers Bureau Request Form

Please complete form below to request a speaker.

Group Information
Group's Name: *
Group's Address: *
City: *
State: *
Zip Code: *
Contact Information
Contact Person: *
Day Phone: *
Evening Phone: *
Fax Number:
Email Address: *
Speaker Requested *
Head Coaches
Andy Bashor
Swimming		 Jim Beichner
Wrestling		 Sandy Calfo
Rowing
Dave Hesch
Men's Soccer		 Perry Jenkins
Men's Track & Field		 Todd Kress
Volleyball
Felisha Legette-Jack 
Women's Basketball		 Vicki Mitchell
Cross Country
Women's Track & Field		 Lee Nickell
Men's Tennis
Jeff Quinn
Football		 Jennifer Teague
Softball		 Michael Thomas
Women's Soccer
Ron Torgalski
Baseball		 Kathy Twist
Women's Tennis		 Reggie Witherspoon
Men's Basketball
Administration
 Danny White
Director of Athletics		 John Lambert
Sr. Associate AD for Development
Dr. Donald Reed
Associate AD for Academic Services		 Kelly Cruttenden
Assistant AD for Compliance
Sharon Sanford
Assistant AD for Community Service		  
Second Choice:
 Third Choice:
Event Information
Date of Event: *
Number of People Expected: *
Location of Event: *
Identify Group's Topic: *
Description of Your Audience: *
Time Event Begins: *
Time Speaker is Needed: *
App. Length of Presentation: *
TV/VCR Available? *