School of Mass Communications Speaker Form

* 1. Speaker name:

* 2. Speaker topic:

* 3. Speaker's employer/organization:

* 4. Speaker's position:

* 5. Speaker phone/email:

* 6. Is the speaker a VCU or Mass Comm alum?

* 7. Speaker gender:

* 8. Speaker race/ethnicity:

* 9. Class visited by speaker:

* 10. Speaker visit date/semester:

* 11. Instructor of the class:

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