Industry Connection Speaker Interest Form

* fields are required

Please complete this form to provide contact information that will be used to promote and fill requests through the bureau, and to develop a reference base of professionals available for Tri-C to use in classrooms, at networking events, special events, panel discussions and various gathering across the college.

Contact Information

First Name: *

Last Name: *

Company: *

Position Title: *

Email: *

Preferred Phone Number: *

Company URL:

Please indicate your affiliation with Tri-C: *

Tri-C Alumni
Tri-C Advisory Committee Member
Tri-C Foundation Board Member
Goldman Sachs 10,000 Small Business Graduate
Employer Affiliate
Tri-C Employee (Faculty/Staff/Administrator)
Other

What year did you graduate?: *

Degree: *

Major: *

Biography (250 words max). Include education, relevant subject matter experience, and anything else you would like to share. : *

Topics or Subjects (250 words max): Subject matter that you have knowledge of and/or expertise to share.: *

Select all that apply

Preferred way(s) to engage with Tri-C (Serve as): *

Classroom presenter
Participate in networking/alumni event
Employer Panelist
Job Shadow Host
Mock Interviewer
Informational Interviewee

Availability: *

Morning
Afternoon
Evening

Preferred Days: *

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