* Full Name
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* Title
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* Business Affiliation
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Address
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City
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State
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Zip Code
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Country
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* Phone
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* Email
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University Attended
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Year of Graduation
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Degree(s) earned
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| Please tell us about your company |
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| Please tell us about your role in your company |
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| * What messages would you like to deliver to our students? |
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* Please check the discipline(s) in which you would
comfortable speaking. (Check all that apply). |
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* Please indicate if you prefer to speak during the fall
and/or spring semester. (Check all that apply). |
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| Comments or additional information |
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Please send your high resolution head shot and biography to cogginspeakersbureau@unf.edu.
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