Location of event: Homewood East Baltimore Peabody SAIS APL Other (describe below)

If you selected "other" for event location, please describe:

Time of event: a.m. p.m.

Duration of event: Event type: seminar lecture discussion workshop concert screening performance Other (describe below)

If you selected "other" for event type, please describe:

Event title:

Event description:

Speaker's name:

Speaker's institution or business if not affiliated
with Hopkins:

Room/building of event:

Admission: open to general public Hopkins community only medical community only Other restrictions (describe below)

If you selected "other restrictions" regarding admission,
please describe:

Admission charge, if any:

Contact person / for more information:

E-mail address of contact person:

Sponsoring department / organization:

or