Guest Speaker Support Request Form For GLRC Faculty Associates This form is intended to support GLRC Associates who are interested in organizing guest speaker events Instructor NameDepartment/ProgramCourse Code and TitleCourse Level Undergraduate (100-level) Undergraduate (200-level) Undergraduate (300-level) Undergraduate (400-level) Graduate Level Other Term Fall Winter Full Year Scheduled Class TimeApproximate Class SizeGuest Speaker NameTopic(s) to be Addressed by the Guest SpeakerPlease indicate the type of session In-person Online Hybrid Please indicate the day and time you would like the speaker forDo you have flexibility regarding the time of day for the guest speaker event? Yes Some Flexibility No If yes, please indicate preferred days and/or timesAre funds available to support any of the following? (Check all that apply) Speaker travel Speaker accommodations Food and refreshments Honorarium No funds currently available Other Please provide any additional details regarding available fundingIs the guest speaker already secured and you are looking to open participation to students and faculty from other classes? Yes No Other Would you like a registration form created for participants? Yes No If yes, please provide the speaker's name, affiliation, and any relevant details (e.g. email address)If no, are you seeking assistance in identifying a speaker for the topic listed above? Yes No Would you like to partner with another course instructor to combine your classes? Yes No If yes, please provide the course instructor’s name if you have someone in mindWould you like this event to be promoted beyond your class? (Check all that apply) Students from other courses Graduate students Faculty members Community members Labour and community organizations Not at this time Other Are there any collaborators, co-sponsors, or partner units involved?Please provide any additional information that may help us support this requestSubmission Note: Please submit requests as early as possible to allow adequate time for speaker outreach, event coordination, promotion, and audience engagement. Send an email to Roxana and Adrian at glrc@yorku.ca