Section I

Section II

Section III

Speaker 1 Information
Speaker 2 Information
Speaker 3 Information
Speaker 4 Information
Speaker 5 Information

Section IV

I can confirm that the details on this form are correct to the best of my knowledge. I am aware of, and accept that restrictions which may be applied to the proposed event in line with the University’s Freedom of Speech and Expression and Related Policies. *


In accordance with NDMU’s Speaker Policy, a Request for Approval of Off-Campus Speaker Form generally must be submitted to the appropriate approval authority at least ten (10) business days prior to the event. In special circumstances, at his or her sole discretion, the approval authority may waive the ten (10) day business day requirement.