Chapel Speaker Request Form

If you desire to speak in chapel, or would like to recommend someone to speak in CIU chapel, please complete this form. For more information contact StudentLife@ciu.edu or call 803-807-5234.

Name

First Name

Last Name

Email*

Phone

Name of Speaker Being Recommended

First Name

Last Name

Your relationship to this person:

Please explain why this person is a good fit for a CIU Chapel

Recommended Audience

Undergraduate Students Graduate/Seminary Students All Students

Where is this speaker currently located?

Does this speaker have a limited window of availability? If so, please include in comment section below.

Yes No

Ex. Missionary temporarily visiting the United States

Comments

What cost would be involved in bringing this speaker to CIU?

*CIU will provide an honorarium for those speakers without a set speaking fee.

Please list name(s) of an individual(s) that may know both CIU and the speaker to provide an additional reference:

Please provide a URL link(s) of a recent message(s) of this speaker so that we can objectively evaluate him/her as a potential speaker. [Ex. Speaker Website, Youtube Video, etc...]