Corporate Interaction: Presentation Request

Name and Contact Information of Student Representative (if any)
Student Representative Name
First Last
Student Representative Email (If known)
Student Representative Phone (If known)
Further Information
Email of Person Completing This Form (You!)*
Corporation or Veterinary Practice Being Represented*
Affiliated UGA CVM club, if any*
Presentation Details
Title of proposed presentation*
Speaker’s name, job title and qualifications*
Rationale for making the presentation to UGA CVM students*
Outline of presentation*
Food or gifts to be provided to all attendees (see Guidelines for gifts and food intended for human consumption within the UGA CVM Corporate Interaction Policy)*
Date being requested for presentation*
Time requested*
: Hours
Minutes
AM/PM
Location requested*
By signing below, I agree to comply with the UGA CVM Corporate Interaction Policy
Signature*
Date*
CAPTCHA

going beyond the expected

501 D. W. Brooks Drive
Athens, GA 30602