Speaker Intake Form

A signed release form is required for all non-faculty speakers at any Wharton event, on or off-campus. This ensures proper marketing and media coverage is decided in advance of the event. Please complete both sections of the below form.

As part of my appearance at the Wharton School, I give permission to record me, including images, audio, presentation and comments, with my name included, for use in electronic and print publications, and the School’s educational and engagement programs for potential and enrolled students, alumni and Friends of Wharton and Penn. The Wharton School may use these reproductions without further examination by me. I waive all personal claims, causes of action, liabilities, or damages against the School arising from or in connection with my performance or appearance.

The Wharton School tends to allow media coverage of all public events. Media outlets include, but are not limited to internal independent media such as Knowledge@Wharton, Wharton Magazine, Wharton Journal, Daily Pennsylvanian and external independent media both local Philadelphia and beyond. The Wharton Media Relations Office is the direct liaison with the speaker/speaker’s office to ensure the maximum level of comfort with any public coverage of the event. Please complete both sections of the below form, including your event contact's name and email address so we can properly direct your submission to the appropriate group.

If you have any questions about this form, please contact mccuej@wharton.upenn.edu.