SENgage on Your Campus - Senator Guest Lecture Request Form

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SENgage on Your Campus - Senator Guest Lecture Request Form

SENgage on Your Campus - Senator Guest Lecture Request Form

General

Your name *

Your title *

Please enter your title *

Job title *

Your email *

Your phone number

University/college name *

University/college address

About the course

Course name and number *

Course department/school/faculty *

Level of course *

Please specify a level of course *

Days and timeslots in which the course is taught *

Approximate number of students who will attend *

About the presentation

What themes most interest your group that you would like the senator to cover during his or her visit? (Check all that apply) *

The role of the Senate in Parliament
The history of the Senate
How senators represent Canadians in the Senate
The legislative process
Senate committees and their work
Specific committee study or bill
The senator’s path to the Senate
The senator’s own interests
Other

Please specify a specific committee study or bill *

Please specify a theme *

What is a good format for your class(es) or group(s)? (We will do our best to accommodate) *

Senator speaking
Question and answer period
Discussion with students
Other

Please specify how long *

Please give details *

Please specify a format *

About the venue

Venue type *

Classroom
Lecture auditorium
Concert hall
Multipurpose room
Other

Please specify a venue *

Venue setup (check all that apply) *

Tables and chairs
Chairs/desks in audience formation
Stage
Podium
Other

Please specify a venue setup *

A/V equipment that you can provide for the event (check all that apply)

Laptop
Projector
Smart board
Microphone
Other

Please specify equipment provided *

About the senator

Would you like to request a particular senator to speak to your class(es)?

Yes
No

Please specify which senator and why *

Do you have any requirements you would like us to consider when matching your group with a senator? (E.g. speaks French, is local, etc.)

Other

How did you first hear about this program? *

Email
Website
Brochure
Twitter
Facebook
Instagram
Senate eNewsletter
Recommendation from a colleague/friend
Other

Please specify how you heard about this program *

Any additional information you would like to provide?

House of Commons Library of Parliament Employment at Parliament

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