Request a Community Scholar

Please complete the form, and allow five business days to receive a response for your request. If you have any questions, please contact the Oriental Institute Public Education Department at oi-education@uchicago.edu or call 773.702.9507. 

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* 1. Contact's Full Name

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* 2. Title (If applicable)

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* 3. Organization/Group Name

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* 4. Email Address

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* 5. Phone Number

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* 6. Organization's Address (where the talk will be hosted)

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* 7. City

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* 8. State

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* 9. Zip Code

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* 10. Audience Type (Check all that apply)

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* 11. Estimated Number of Audience (minimum 10 people)

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* 12. If applicable, room number or name in which the talk will be held

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* 13. Would you like to record this lecture?

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* 14. Length of Talk (minimum 45 minutes)

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* 15. Requested Start Date & Time

Date
Time
Date
Time
Date
Time

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* 16. Select Your Region of Interest (Check all that apply):

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* 17. Select Your Topic(s)  (Check all that apply):

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* 18. If applicable, will guest parking be available for the speaker?

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* 19. If the lecture is in person, please list the available technology in your room (Check all that apply):

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* 20. Additional Information or Special Accommodation

Thank you for submitting your form. Our Education Department staff will get in touch with you shortly to follow up your request.

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