Weber Lecture Guest Form Weber Lecture Series Event Form Name * Required Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Title * Required (e.g., Professor of Political Science, University of Michigan) Correspondence/Business Address * Required 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 Cell Phone Number * RequiredThis number will only be used by our Department Chair for logistics during your visit or should an urgent matter arise.Travel ArrangementsPlease let us know if you would like the College to handle your bookings or if you prefer to arrange your own travel for reimbursement. Air/Ground Travel Options * Required Option A: The College handles all bookings. We will coordinate all airfare and lodging directly on your behalf. Option B*: You handle all bookings. You may arrange your own travel and lodging for reimbursement (economy-class airfare, ground transportation, and reasonable lodging). Option C*: A hybrid arrangement. You book your own transportation for reimbursement, and the College handles your hotel booking directly. *Important Note for Reimbursement: If you choose to book any portion of your travel independently (Option B or C), please provide your booking confirmation and receipts to our office no later than 14 days prior to your scheduled talk. While we utilize specific preferred local hotels and bed-and-breakfasts, we are happy to reimburse alternative lodging under Option B that falls within a reasonable rate.Supplemental InformationYou have selected Option A (The College handles all bookings): Please help us by answering the following questions about your travel needs.Please let us know your preferred airport for your departure/return. * RequiredLodging Preferences * Required Hotel Bed and Breakfast Travel ConcernsSupplemental InformationYou have selected Option B (You handle all bookings)Travel Itinerary: Please provide a brief overview of your planned travel (e.g., flying vs. driving) and your planned hotel (please give the name and the address of the hotel) * RequiredCollege Booking Travel Policy Acknowledgment * Required I agree that I will provide all booking confirmations and receipts no later than 14 days prior to the event for reimbursement processing. Supplemental InformationYou have selected Option C (Hybrid Arrangement – You book all your air or ground travel and the college will book your lodging accommodations)Travel Itinerary: Please provide a brief overview of your planned travel (e.g., flying vs. driving). * RequiredCollege Booking Travel Policy Acknowledgment * Required I agree that I will provide all booking confirmations and receipts no later than 14 days prior to the event for reimbursement processing. Lodging Preferences * Required Hotel Bed and Breakfast Travel ConcernsLectureTitle of Lecture * RequiredLecture DescriptionPlease provide a short summary (3–5 sentences) of your talk to be used in our event advertising and student outreach.Short Bio to be included in Program * RequiredMax. file size: 5 MB.Photo to be used for Programs and Posters * RequiredMax. file size: 5 MB.Media Equipment Needs * Required Laptop with Connection Cord – Mac Laptop with Connection Cord- PC Laptop Connection Cord Only for Mac Laptop Connection Cord Only for PC PowerPoint Microphone Podium Media & Digital AccessWe would love to share your insights with our wider community. May we have your permission to record or livestream your talk? We specifically enjoy making these recordings available to Kalamazoo College students who are currently studying abroad and unable to attend in person.Permission to Record * Required Yes, I give permission to record my presentation No, I prefer not to be recorded. Permission to Livestream * Required Yes, I give permission to livestream my presentation. No, I prefer the talk to be limited to the in-person audience DinnerDietary Restrictions for Dinner * RequiredStudent Engagement & Additional ProgrammingTo provide our students with the best possible experience during your visit, we offer a few informal ways to connect. Please indicate your availability and interest for the following:Student Engagement Meals – We often arrange for our guest speakers to meet with a small group of our department majors for a casual meal. * Required Yes, I would be happy to join students for a student meal No, I am unable to join a student meal during this visit, but I would welcome the opportunity to connect with students during a future visit to campus. No, I prefer to use meal times for personal prep or rest I would be happy to join students for * Required Breakfast Lunch Afternoon Coffee (A short session prior to your talk preparation) Classroom Discussion – Depending on the timing of your visit, we occasionally invite guests to speak with a specific class the day following their main talk. * Required Yes, I am available to speak to a class the following day. No, I will need to depart or have other commitments. Please let us know if there is a specific topic or area of your research you would prefer to discuss with the class * RequiredKalamazoo College Business Office Forms https://businessoffice.kzoo.edu/wp-content/uploads/sites/80/2020/03/Form_W_9_K_College_rvsd_10_2019-a11y.pdf Was The W-9 Completed And Successfully Submitted To The Business Office Using The Link Above? * Required Yes, I received a confirmation email. Unsure, I submitted it but have not received the confirmation email. No, the link is not working. I would like a PDF emailed to me to fill out and sent back to you Δ
