University of Colorado Anschutz Medical Campus

NORC Guest Speaker Nomination Form

Please complete this form to nominate a speaker you'd like to have on campus to speak on a topic related to nutrition or obesity.

Nominee Name and Degree(s)

Institution

Filed of Expertise

Potential Presentation Topic(s)

Preferred Forum

NORC-sponsored speakers are generally featured in Endocrine Grand Rounds, Endocrine Research Conference, or Nutrition Seminar. These forums tend to attract members of the NORC research base. Although these are the preferred options, other forums will also be considered. Please indicate your preferred forum.

Guest Host

The local host will be responsible for helping with the guest speakers meeting schedule and should be available to accompany the speaker to and from meetings if needed.

Preferred months to visit.