Guest Speaker Participant Form

Privacy: Personal information in connection with this form is collected under the authority of The York University Act, 1965 and will be used for educational, administrative and statistical purposes. If you have any questions about the collection, use and disclosure of personal information by York University, please contact: career@yorku.ca

Please complete the following form if you would like to be a guest speaker.

I accept and agree to the following Terms & Conditions: *

I accept and agree to the following Terms & Conditions: I shall comply with the terms and conditions of the program and instructions from the Career Centre I understand that the information I provide in this form (excluding my contact information) will be shared with York students and new graduates to promote your guest speaker event.
Guest Speaker Contact Information
Name Name * First Last
Pronouns
Phone Phone * - ### - ### ####
Email *
Education
Are you a York University alum? (Please note: This is not required to be a guest speaker) *

Are you a York University alum? (Please note: This is not required to be a guest speaker) Yes No
What was the name of the college/university or training institution? *
What was your program of study? *
What degree did you complete (eg. BA, BSc, MA, MSc)? *
Guest Speaker Occupation
Title/Position *
Organization *
Organization Website *
Biography

In your bio, please include any additional information that you would like to share with students and new graduates. This can include self-identifiers (ex. First Generation and Racialized) and areas of specialization, expertise or interests (ex. Human Rights and Advocacy, Mental Health, Social Justice, Global Affairs, Green Careers, Future of Work, Anti Oppression, Technology, Entrepreneurship, Academia, Arts, Sports).
Bio *
Please provide your availability to participate as a guest speaker: *

Guest Speaker Participant Form

Guest Speaker Participant Form

Guest Speaker Contact Information

Education

Guest Speaker Occupation

Biography