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Speakers Bureau Application<

Speakers Bureau Application

Fields marked with a (*) are required


Check all that apply:
Local Section
Student Section
Division
Section/Division Name(s)
Please list topics or areas of expertise you would feel comfortable addressing.
I am applying to attend the training session at the

Please briefly respond to the following in 150 words or less for all questions

  1. Why do you want to be part of the Center's Speakers Bureau?
  2. Briefly describe your previous speaking experience.
  3. Have you conducted informational/educational public outreach about nuclear? If so, please briefly describe your experience.
  4. What would you like to gain from the orientation training?
  5. What would you like to do/accomplish as a Speakers Bureau member?

Please provide any additional information that will help us to determine your qualifications for and interest in the Speakers Bureau.

Please select your preferences in representing the Speakers Bureau.

Please check all that apply

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