Visiting Lecture Request Form

The Behavioral Analysis Program at Upstate Medical University is pleased to offer a visiting lecture series to bring undergraduates an informative lecture with one of our clinical faculty members, free to you!

Upon filling out the form below, the department will receive your request and respond as quickly as possible to arrange the faculty lecturer, date and details of this visit.

Thank you!

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Requester's Information











Date/Time Preference
Please indicate date and time preferred for the visiting lecture (Note: this will require a two-hour block)


Is there an alternate date and time available?


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Math question: *
Solve this simple math problem and select the answer.
E.g. for 1 + 3, select 4.
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