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JRCLS Speaker's Bureau - Information Form

Name*:
Address:
 
City: State: Zip:
Contact Information of Making Speaking Arrangements
Phone Number(s): E-mail(s):
   
LDS Stake:
JRCLS Member: Yes No Chapter:
Other Associations: Marriott Management Society
  Mormon History Association
  Other:
 
Professional Biography on Web: Yes No URL:
Biography attached (pdf): Yes No
LinkedIn: Yes No Profile URL:
 
Foreign Languages: Level of Fluency:
Level of Fluency:
Level of Fluency:
 
Attorney     Judge     Professor     Government Leader     Church Leader    
Other:
Organization:
Position:
Law School: Year of Graduation:
 
Types of Presentations:
Fireside Speaker     After-dinner Speaker     Luncheon Speaker     CLE     Other: