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Dr. Jason Trainer - MSUM Vice President Speaking Engagement Request

All requests must be submitted at least two weeks prior to the event date to ensure proper coordination with Lauren Kupfer, Dr. Trainer's assistant. Requests are reviewed weekly and decisions communicated accordingly. Please use the form below to submit your request.

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Requesting Organization:

Name of Event:

Event Date:

Event Time:

Location of Event: (Be specific)

Type of Request: (For example: keynote, panel, welcome/closing remarks, talking points)

Who will be in the audience? (For example: business leaders, higher education leaders, students, faculty members, community leaders)

Subject or focus of talk:

What do you want the audience to do with the information Dr. Trainer shares?

How long do you expect Dr. Trainer to speak?

Your Information

Contact Name:

Email:

Phone Number:

Any additional details we should know?

Dr. Jason Trainer - MSUM Vice President Speaking Engagement Request

Your Information

Your Information

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