Standards Speakers Bureau (SSB) Notification Form

Please complete all information requested below.

CHAPTER INFORMATION

Name of Chapter:

Chapter Chair:

Chapter Officer Filing Request:

Office Held:

Email:

Phone:

SPEAKER INFORMATION

Speaker:

Speaker’s Email Address:

Date of Speech:

Preferred Topic:

Expected Attendance:

IMPORTANT: SSB Services must be notified by submission of this form in advance of all speaker visits to the Volunteer Services Coordinator. Arrangements made by speakers, Chapters, and/or others outside of SSB rules and guidelines are not the responsibility of the Computer Society. See the online SSB for complete program details.

Complete and send this notification by email to:

Volunteer Services Coordinator

1730 Massachusetts Avenue, NW

Washington, DC 20036-1992

Phone: +1 202 371 0101