Distinguished Lecturer Form

ASHRAE DISTINGUISHED LECTURERS PROGRAM PARTICIPATION FORM

The Chapter Technology Transfer Regional Vice-Chair for your Region must approve the information submitted on the form before it is forwarded to ASHRAE headquarters. You will receive a confirmation e-mail, media kit, program information, and Event Summary Critique Form within three days of receipt of the Distinguished Lecturer Participation Form. ASHRAE Headquarters will begin confirming visits on July 1.

Allocated Visit Unallocated Visit

Has the CTTC Regional Vice Chair been notified of this visit?

Region:

CTTC Regional Vice Chair:

1. Host/Organizing Chapter:

2. Lecture Date* *Must be between July 1 and June 30 of current society year.* *Form must be submitted at least 15 days prior to the visit date.*

3. Multi-Chapter Visit:

Yes

If no, please explain:

Additional Participating Chapter 1

Name:

Date:

Additional Participating Chapter 2

Name:

Date:

Additional Participating Chapter 3

Name:

Date:

4. Is this a joint meeting with another industry organization? (AIA, USSGBCI, etc.):

Yes

If yes, who?

5. Name of Lecturer:

6. Presentation Title(s):

7. Date(s) of visit:

Visit Start Date:

Visit End Date:

8. Has each of the Host Chapters discussed arrangements for local transportation, hotel, meals, miscellaneous expenses, and honorarium, with the DL?

9. Meeting Type and Transportation

a. What meeting type is this?

In-Person

Virtual

Both In-Person and Virtual

b. Will the Chapter pay for the DL's transportation (i.e., flight or drive) to the meeting?

Yes

10. Host Chapter(s)/Section(s) Technology Transfer Chair(s)

Chapter

Name

Chapter

Name

Chapter

Name

The Chapter Technology Transfer Regional Vice-Chair for your Region must approve and sign this form before it is forwarded to ASHRAE headquarters. You will receive a confirmation e-mail, media kit, program information, and Event Summary Critique Form within three days of receipt of the Distinguished Lecturer Participation Form. ASHRAE Headquarters will begin confirming visits on July 1.

Applicant Email *Note that all form fields are REQUIRED for submission.*

ASHRAE DISTINGUISHED LECTURERS PROGRAM PARTICIPATION FORM

10. Host Chapter(s)/Section(s) Technology Transfer Chair(s)

Regional Vice Chair, CTTC Response

ASHRAE Staff Response