Faculty Form: Seminar Request : Chemistry & Biochemistry : Texas State University

Host Faculty Name *

Host Faculty Email *

Date of Seminar *

Guest Speaker Name *

University and Department Affiliation *

Seminar Title: *

Guest speaker email *

Will you be having lunch? *

Yes, catered lunch with students

Yes, I am taking our guest out to lunch

No lunch will be provided

If we are catering lunch, how many will be attending?

If we are catering lunch, what time will it be served?

Will you be having dinner? *

Yes, I will be taking our guest out to dinner

No, we will not be having dinner

Will our guest need a hotel room? *

Yes, we need to book a hotel room

No, our guest will not be staying overnight

If yes to above, what night will your guest be checking in?

If yes to above, what night will your guest be checking out?

Will we be reimbursing mileage? *

Yes

No

If we will be reimbursing mileage, please provide the guest speaker's HOME address:

Will the guest be flying? *

Yes

No

Will guest need airfare reimbursed? *

Yes

No

If yes to above, what date will your guest be flying in?

If yes to above, what date will your guest be flying out?

Please indicate the airport your guest will be flying from and to:

If you would like to invite other departments to this seminar, please list the departments that should be included below:

Is there anything else we should know to plan for this seminar?

Faculty Form: Seminar Request