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Speaker Series Application Form

Please fill in the following form if you would like to be added to the Pew Speaker database.

Speaker Information
Last Name *
Name
Institution	Lawrence University Hope College Beloit College Grinnell College Macalester College Luther College Carthage College St. Olaf College Gustavus Adolphus College Knox College Washington University in St. Louis University of Chicago Colorado College
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Talk Information
Title
Genre	Chemistry Biology Physics Geology Math Computer Science Social Sciences Medicine
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