Visiting Scholar Request Form

The program is free and designed to spark interest in the biomedical sciences and to further awareness of opportunities at SUNY Upstate. Please refer to our brochure for more information. To schedule one of our lecturers to come to your campus, please complete the following form. All fields are required.

Requester's Information










(000-000-0000)

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

(mm/dd/yyyy)

Is there an alternate date and time available?

(mm/dd/yyyy)

Upstate Visiting Lecturers
Due to travel and faculty availability please select three lecturers. We will make every attempt to match you with your first lecturer choice. To learn more about our faculty and their research projects, please visit our Website.

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