Invite President Gertler to Speak

Thank you for inviting President Gertler to speak at your event. Kindly provide key information according to your plans and goals for the event, as indicated in the form below. We will respond to you as soon as possible, but please note that it may be several weeks until we have an answer.

If you require assistance filling out this form, please contact president@utoronto.ca.

"*" indicates required fields

Your name*

First Last

Your email address*

Your phone number

Host Name(s)

Host organizations(s) or unit(s)

Title of event*

Date of event

Start time of event

Length of event

Please enter a number from 0 to 12.

Location and address of event venue

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Event Agenda / program*

Please enter details as to the anticipated program for your event, including speaker names and lineup, if available.

Purpose of event*

Please describe the purpose of your event, and how President Gertler’s participation will contribute to achieving your event goals.

President Gertler's role*

Welcome remarks / greetings

Keynote speaker

Panelist

Other

Length of President Gertler's remarks

Who will be in the audience

Number in attendance

Please enter a number greater than or equal to 0.

Platform party members and other special guests

File Upload

Upload a file with any other pertinent information, if you wish.

Max. file size: 100 MB.

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Phone

This field is for validation purposes and should be left unchanged.