HLGU Chapel Speaker Form

HLGU Chapel Speaker Form

Please fill out this form completely so HLGU can be ready for your chapel message.

"*" indicates required fields

Name*

First Last

Preferred Title*

Mr.

Dr.

Reverend

Pastor

Other

Other

Current position*

Church/Organization*

Church/Organization Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country

Email*

Cell Phone Number*

Are you a Hannibal-LaGrange University alum?*

Yes

No

What is your graduating class year?

Are any of your family members alumni? If so, please list their names and relationship to you here.

Please include a brief 3-4 sentence biography about yourself.*

Please upload a headshot of yourself here if one is available.

Accepted file types: png, jpg, Max. file size: 5 MB.

Will you have a guest traveling with you?*

Yes

No

How will you be traveling to campus?*

Flying

Driving

What is the title of your message?

Do you have any specific audio/visual requirements or preparations? (examples: slideshows, visual aids, additional microphones)*

Yes

No

Audio/Video Rights - Please select one of the following:*

I authorize the use of my recorded message(s) by HLGU for duplication, including publication online and other venues.

I restrict the use of my recorded message(s) to copies made for educational use only at HLGU.

Will you be able to attend Chapel Lunch on campus immediately following the Chapel service?*

Yes

No

Number of guests (including you) for lunch:

Are there any food allergies we need to be aware of?

CAPTCHA

General Info

- Chapel begins at 11 a.m. in the Roland Fine Arts Center. - Please arrive no later than 10:30 a.m. for a sound check. - Dress is business casual. - After a short music set, you will have 20 minutes for your sermon. - PowerPoint presentations should be sent to sabrina.brookshire@hlg.edu no later than one week prior to the date you speak. - Copy/paste this link to see a map of campus: https://www.hlg.edu/about-hlgu/interactive-campus-map/