plainblack

Application

ONLINE APPLICATION FORM FOR NOMINATING A SPEAKER


Before nominating a lecturer please see the rules for nomination
Rules for Nomination

Please provide the following information to the Joy Goodwin Lecture Committee regarding your nomination of a speaker for the program.

The Curriculum Vitae can not be attached to this data form, so please send it seperately to the email address provided. If an electronic vitae is not available then send to Dr. Tim Braden, via campus mail.

Fill out the required fields below and send your nomination.

Nomination Application

* denotes a required field.

From
(Your email address here)
Subject
Date of Application: *
Nominator's Name: *
Nominator's Department: *
Nominator's E-mail: *
Nominator's Phone: *
Nominee's Name: *
Nominee's Affiliation: *
Nominee's Title
(Paste below or send electronically to bradetd@auburn.edu.)
Nominee's CV

Brief description of work and contribution to his or her field:

Proposed Lecture Title(s):

Significance of the topic to the College of Veterinary Medicine:

Other Important Information:

© 2009 Auburn University College of Veterinary Medicine