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    • VISITING BUSINESS EXECUTIVE PROGRAM
     
     

    Student Organization Form

    Please submit this form at least two weeks
    prior to the date of the speaking engagement.
    Please complete this form for each speaker present at your meeting.
    * Denotes required fields

    		  
    Student Information
    Student Organization Name: *
    Student Contact Name: *
    Student Contact Phone:
    Student e-mail: *
    Department: *
    Course Name and Number: *
    Course Time: *    
    Meeting Room: Building: * Room No: *
     
    Meeting Date: *
    Time Parking Needed: *    
    Specific Topic:


    Visiting Executive Information
      Prefix: * First: * Last: * Suffix:
    Name:
    Position:
    Company: *
    Phone: Work: Home:
     
    Business Address: *  
    City: *  
    State: *  
    Zip: *  
    Home Address:  
    City:  
    State:  
    Zip:  
    e-mail:  
    Is the executive a recruiter ?  
    Number of parking passes needed ? *
    		  
    Will executive need a campus map ?
    Reason for guest visit:
    Comments:
         

     

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    For questions please contact Wendy Luedtke at wendy@lsu.edu or 225-578-8865