Post-Visit Fill-In Form

The host institution is required to complete this brief post-visit form and submit it to the SIAM office after a visiting lecture. Please complete and submit the pre-visit form as well if you have not already done so.

All fields are required.

Host Institution
Faculty Contact
Your Email
Visiting Lecturer
Date(s) of Visit
# Attending
Please rate the following...
Quality of the Lecture
Lecture's suitability for undergraduates
Interaction between speaker and audience
Other Comments and Suggestions
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