LSCS Presidents | LSC-Montgomery President | College Relations |

GURUconnect

Participant Form

*First Name:

*Last Name:

*Job Title:

 

*Email:

Faculty Website:

*Phone number:

Work number:

I am willing to volunteer in the following area(s):
Speaker Resource

 

Education/Experience:

*Summary of your expertise:

Please list your individual presentation topic(s) below:

Presentation Title:

Category:

Description:

Presentation Title:

Category:

Description:

Presentation Title:

Category:

Description:

I understand that my participation in the GURUconnect speakers’ bureau is not an offer of employment and that I am not entitled to workers’ compensation, medical insurance, or any other benefits available to employees of LSCS. I acknowledge that I may be removed from the speakers’ bureau for LSCS’s convenience, any conduct or actions that violate LSCS rules or policies or is injurious to the reputation of LSCS. I also understand that I may terminate my participation at any time. I further acknowledge that I will provide my own travel arrangements and/or properly insured vehicle in accordance with Texas lawwhen participating in the program.

I knowingly and willingly assume all risks and responsibilities of the speakers bureau and I and my heirs or assigns hereby release, indemnify, and hold harmless LSCS, its trustees, officers, agents, volunteers, employees, or anyone associated with the LSCS in any way, from any and all claims or causes of action, losses, injuries, or liabilities sustained by me for property damage, personal injury, or death regardless of whether those claims or causes of action, losses, injuries, or liabilities are caused by my own negligence or the negligence of LSCS.

*I HAVE READ AND AGREE WITH THE GUIDELINES

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