HLGU Chapel Speaker Form Please fill out this form so we can be adequately prepared for your time on campus. "*" indicates required fields LinkedInThis field is for validation purposes and should be left unchanged.Name* First Last Preferred Title* Mr. Dr. Reverend Pastor Other OtherCurrent position*Church/Organization*Church/Organization Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican 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 RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican 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 RicoQatarRéunionRomaniaRussian FederationRwandaSaint 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 TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe 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?What is the date you will be speaking? Do you prefer to speak from a:Traditional podiumFlat, High-Top TableNo PodiumDo you prefer:Handheld microphoneEar microphoneLapel microphoneDo 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?CAPTCHAGeneral 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 [email protected] no later than one week prior to the date you speak. Click Here to see Campus Map
