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Get Help
Our Work
Education
Health
Financial Stability
Rebuilding Lives
Group Volunteer Projects
About
Mission & Vision
UWSC Team
Financials
FAQs
History
Careers & Internships
Achieving Equity Through Diversity & Inclusion
Events
Fall Classic Golf Scramble
Mom & Baby Care Drive
Gala United
#MeetALICE
Contact
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Home
Request an ALICE Speaker
Home
Request an ALICE Speaker
Request an ALICE Speaker
Contact Information
Name
Company, if applicable
Email
Phone
Address
Address 2
City/Town
State/Province
- None -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East)
Armed Forces Americas
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP/Postal Code
Please provide your contact information including the company for which you work, if applicable.
Name of Group/Company to whom you would like us to present
Anticipated Size of Group
Where would you like us to present?
Address
City/Town
State/Province
- None -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East)
Armed Forces Americas
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP/Postal Code
Will you have A/V available for a PowerPoint presentation?
Yes
No
Other…
Enter other…
How much time will be allotted for our presentation?
What is your first choice for when you'd like us to present?
What is your first choice for when you'd like us to present?: Date
What is your first choice for when you'd like us to present?: Time
What is your 2nd choice for when you'd like us to present?
What is your 2nd choice for when you'd like us to present?: Date
What is your 2nd choice for when you'd like us to present?: Time
What is your 3rd choice for when you'd like us to present?
What is your 3rd choice for when you'd like us to present?: Date
What is your 3rd choice for when you'd like us to present?: Time
What is your intended purpose for asking us to present ALICE information to this group?
