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College of Arts and Letters
Liberal Arts High
Date of Visit___________________________________________
Time of the Visit__________________________________
Name of the School__________________________________________________
Name of the Speaker_________________________________________________
Subject ___________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Number of Presentations given __________________
Number of Students in Attendance________________________
____________________ ____________________ ______________________
Faculty Member Signature Department Chair Signature School Representative Signature
Please complete form after visit and return to Patti or Gretchen (College of Arts & Letters) Stop 8087