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LGBT Resource Center College of Liberal Arts & Social Sciences

Speakers Bureau Training

(When you click submit an email will be sent to Center Director)

Basic information

Name: Date
Email: PeopleSoft#
Age: Gender:
Address:
Confidential phone:
Ethnicity:
Sexual Orientation:
Academic level:  
Academic Program/Major:
How did you hear about the the Speakers Bureau?
Briefly describe why you want to join the speakers bureau.
 
Any other information you feel is important to share with us.
(i.e. specialized knowledge of experience you have – parenting, legal issues, HIV, etc.)
 
     
Please complete form and click submit (Your information will be sent to: lschroeder@uh.edu )