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Function Representative Request

Submit this form to request an EIPS representative attend your event.

Start Time and End Time

Speaking Information

If YES, please provide details below.

Typically only one of the invited guests are requested to speak. If requesting speakers for a graduation ceremony, please indicate one member of the Board of Trustees and one member of EIPS Administration.

Please provide any additional background information that may be useful in preparing remarks for the speaker(s).

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The maximum total size of all files in a single form submission is 1 GB.

Coordinator Information

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