Oregon Society of Certified Public Accountants

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Speaker Request Form

School Name:

Address:

City:

Zip:

Primary Contact Name:

Instructor Type: Business Math Accounting Career Counselor Other

Telephone: * Email: *

I am interested in having a CPA speak to my class. (Instructor's Toolkit to be provided by the speaker.)

The months that will work are:

October November December January
Februaryº Marchº Aprilº May June

(º Indicates limited availability of presenters)

Class Times:

Class 1: Start * End *
Class 2: Start End

* Means a Required Field

I don't need a speaker at this time, but please send me the free Instructor's Toolkit.

Send the Toolkit to:

Is there interest in having a CPA attend the school's career fair? yes no

If yes, in which season does the fair take place?
Fall Winter Spring

I understand that I will be contacted once a speaker has been arranged for my school. I also understand that once a speaker has been matched to my school, I am responsible for confirming the speaker’s presentation date with both the speaker and the Oregon Society of CPAs. The Oregon Society of CPAs will send materials with the speaker.

I understand the Oregon Society of CPAs will do their best to match my school with a speaker. However, in the rare event that the OSCPA cannot match my school with a speaker, the OSCPA will notify me and send an Instructor's tool kit to my school.