Society Choice Lecturer Submission

Society Choice Lecturer Selection Form

Complete this form to submit your selected lecturer as part of the Society Choice Lecture Program. All potential lecturers must receive approval by the Lecture Program Committee. The approval process should take one week and a member of the AIA’s Programs Team will reach out with the Committee’s decision.

Society Name(Required)

Society Contact Email(Required)

Proposed Lecturer Name(Required)

Lecturer Institutional Affiliation(Required)

Lecturer Website(Required)

Either their institutional page, personal website, or academia.edu page would all acceptable. If unknown or not available, please list N/A.

Lecturer Email(Required)

This speaker has indicated a willingness to lecture for us(Required)

Yes

Tentative lecture month or timeline(Required)

We want to ensure we are disbursing funds in a timely manner.

Preliminary Budget Projection (Honorarium, Travel, Lodging/Accommodations, Venue Rental, etc.)(Required)

Please list out how you currently anticipate utilizing the $900 for your Society Choice Lecture. Example: Honorarium – $300, Travel – $300, Lodging – $200, Reception with Lecturer – $100. This is non-binding and meant to give the AIA a rough idea of how you are planning to use the funding.

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Society Choice Lecturer Selection Form

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