Monthly Meetings Request Form CompanyThis field is for validation purposes and should be left unchanged.Student Organization:*Student's Name:* First Last Student's Title:*Student's Cell Phone:*include area codeStudent's UAMS Email:*Chapter Advisor's Name:* First Last Event Date:* Event Start Time:* : Hours Minutes AM PM AM/PM Event End Time:* : Hours Minutes AM PM AM/PM Event Location:*(include UAMS bldg/room or off-campus name/address)Event Description: (2-4 sentences required) Required*Guest Speaker Information: Include Name(s), Title/Company, Email, & Topic*(includes UAMS faculty/staff and external guests – if there is no speaker, please enter n/a)
