formerly University of Missouri-Rolla
Speaking Agreement

The following information should be provided to Administrative Services, (341-4122) well in advanced of speaker’s appearance to allow adequate time to prepare an agreement and obtain the required signatures.

After the contract is prepared and approved, the Vice Chancellor for Administrative Services will sign three copies. Administrative Services will retain one for their file and the remaining two will be forwarded to the originating department to obtain signature from the speaker. The speaker will retain one signed copy and forward the other to the department.

A fully signed copy of the contract will have to be attached to the voucher for payment.

If the speaker is currently a University of Missouri (any UM campus) employee, payment is made on an additional pay form (UM 271) and a speaking agreement is not to be used.

  Please fill in your responses below
1. Name and Phone Number
of Missouri S&T contact person with knowledge of the proposed agreement.
2. Complete Name and Address
of speaker.
3. Date and Time
of speaking engagement (month-day-year) time - (am-pm).
4. Topic or Title of Speech
5. Will Admission be Charged?
6. Length of Speech
7. Location of Speech
building name, room number/name.
8. Special Conditions
luncheon meeting, questions and answers any travel expenses to be paid by the University.
9. Fees
Amount University agrees to pay for services of speaker.