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Test
Events
Upcoming Events
Jet-Setter
Connect
Alumni Directory
Update My Information
Volunteer
Share Your Student Story
Submit a Class Note
Visit the Bookstore
Lewis Virtual Backgrounds
Giving
Ways to Give
Day of Giving
Funds
Planned Giving
Scholarships
Giving to a Scholarship - FAQs
Athletics Giving
Corporate Relations
Faculty/Staff Giving
President's Circle
Faithful Flyers Monthly Donors
WLRA Queue Club
Golden Flyers
Prison Education Program
Alumni Spotlights
Featured Alumni
Alumni Mission Moments
Alumni Sweethearts
In the Lewis Magazine
Recommend an Alumni Spotlight
Lewis Connect
Campus Memories
Senior Spotlights
Share News Stories
Benefits & Services
Campus Services
Career Services
Diploma Plaques
Alumni Discounts
Frequent Flyers Tuition Discount
About Us
Alumni Representatives
Staff Directory
Board of Trustees
Contact Us
Test
Events
Upcoming Events
Jet-Setter
Connect
Alumni Directory
Update My Information
Volunteer
Share Your Student Story
Submit a Class Note
Visit the Bookstore
Lewis Virtual Backgrounds
Giving
Ways to Give
Day of Giving
Funds
Planned Giving
Scholarships
Giving to a Scholarship - FAQs
Athletics Giving
Corporate Relations
Faculty/Staff Giving
President's Circle
Faithful Flyers Monthly Donors
WLRA Queue Club
Golden Flyers
Prison Education Program
Alumni Spotlights
Featured Alumni
Alumni Mission Moments
Alumni Sweethearts
In the Lewis Magazine
Recommend an Alumni Spotlight
Lewis Connect
Campus Memories
Senior Spotlights
Share News Stories
Benefits & Services
Campus Services
Career Services
Diploma Plaques
Alumni Discounts
Frequent Flyers Tuition Discount
Women LEADership Series Speaker Application Form
Contact Information
First Name
*
Last Name
*
Maiden Name (if applicable)
*
Email
*
Home Number
*
Cell Number:
*
Lewis University Graduation Information
What year(s) did you graduate from Lewis University?
*
What program did you earn your degree(s) in?
*
Not an Alum- how did you find out about this?
*
Career Information
What is your current job title?
*
What company do you currently work for?
*
Pertinent Career Information (Insert Bio or LinkedIn url):
*
Session Proposal
What field(s) have you been a leader:
Business/Entrepreneurship
Non-Profit or Social Work
STEM or Informational Technology
Education
Medical Field
Government or Law
*
Proposed Session Title
*
Proposed Session Description and Significance
*
What do you want attendees of your session to learn?
*
Please list any previous speaking engagements
*
Share any other pertinent information about your background that you would like the Advisory Committee to know.
*