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Osher Institute Proposal Form

Thank you for your interest in presenting for the Osher Institute. Our programming consists of college-level courses and lectures. Please fill out this form and submit it for review. This form must be completed before submission.

Deadlines For Proposals: Fall semester – February 1; Spring semester – August 1

Required fields are indicated.

TODAY'S DATE:

Name and Contact Information

NAME:(Required)
ADDRESS:(Required)
EMERGENCY CONTACT NAME:(Required)

Program Proposal Information

This is a proposal for a (check one):(Required)

Program Proposal Description

Title and description may be edited for grammar, spelling, and length for use in the Osher Institute print and online catalog.

Scheduling Preferences

Preferred day of the week (check all that apply):(Required)
Preferred time (check one):(Required)
Semester to take place:(Required)
(NOTE: Proposals received after the deadline will be considered for the following semester.)

Brief Biography and Photo

Anticipated Equipment and Material Requirements

Our classrooms come equipped with a computer, projector, screen, lapel or headset microphone, and a slide clicker.

Speaker Status

Please select your preferred method of payment.(Required)
The Osher Institute can provide a modest honorarium to speakers. Please select one of the following:
Consent(Required)
Thank you for taking the time to complete this proposal form. We look forward to reviewing it.

When you submit this form, an email will be sent to you as a record of the information you provided.

You will be notified of your proposal acceptance shortly after August 1 for Spring scheduling and February 1 for Fall scheduling.

** PLEASE NOTE: After clicking “Submit,” DO NOT close the browser window until you receive a confirmation message that your proposal was received, as it sometimes takes a few seconds to process. If you have submitted the form correctly, you will receive a confirmation email with a copy of the information you provided.