Request for NELC-sponsored Speaker: US Citizen or Permanent Resident

Please either e-mail the below information to Jill Roszhart (roszhart@fas.harvard.edu) [you may wish to cut and paste the below text into the body of an e-mail] or click here for a Microsoft Word document, which you can fill-out and submit as an e-mail attachment to Jill or paste into the body of an e-mail. If you do not have all of the below information, please make sure to provide Jill with the e-mail address of the invited speaker, or put the speaker in direct contact with her well in advance of the lecture date.

Faculty Sponsor
Name:

Speaker Information
Name, and Title and Institutional Affiliation (if any):

E-mail address:

Permanent Legal Mailing Address:

Check Mailing address (if different from legal address):

US Social Security Number:

Honorarium
The NELC departmental honorarium payment for 2005 – 2006 is $200.00 (Please make sure that your invited speaker knows that this is the pre-tax amount). Please indicate here if you put in a request to Jennifer Petrallia for an honorarium that is an exception to this amount:

Lecture Information
Lecture Title:

Date:

Start and End Time:

Media and Technology Needs ( Note: May not be able to accommodate requests made less than two weeks before event. For room scheduling purposes, it is best to know of any media and technology needs prior to scheduling the room):

Room Request
Room Preference(s):

Room Size:

Advertising
Co-Sponsorship?:

Other than the below advertising venues, please specify other departments/faculty/other to be notified:

Advertising venues: Depending on the topic of the lecture, NELC usually advertises with list serves and with lecture fliers:

• CMES: Mid East listserve and flier (for topics related to Middle Eastern Studies)
• Committee on the Study of Religion: listserve (for topics related to Religion)
• HDS: Online calendar (for topics related to Religion)
• Gazette
• NELC: List serve (includes Semitic Museum & CJS affiliates), online calendar, and fliers on department bulletin boards
• Other Harvard Departments (depending on the lecture topic)
• Program on Central Asia & the Caucasus : listserve (for topics related to Central Asian Studies)