\documentclass{article}
\usepackage{fullpage}
\title{Review of\\
$\mathit{\langle Title~of~Talk\rangle}$\\
Presented by\\
$\mathit{\langle Name~of~Speaker\rangle}$\\
$\mathit{\langle Speaker's~Affiliation\rangle}$\\
as a Departmental Colloquium\\
$\mathit{\langle Date~of~Talk\rangle}$
}
\author{$\mathit{\langle Name\rangle}$\\
Department of Computer Science and Engineering\\
State University of New York at Buffalo\\
226 Bell Hall\\
Buffalo, NY 14260-2000\\
$\mathit{\langle login\rangle}$\texttt{@cse.buffalo.edu}}
\date{$\mathit{\langle date~of~review\rangle}$}
\begin{document}
\maketitle
\section{Summary}
\textit{Give a short summary of the main points of the talk in your
own words, to the best of your ability.}
\section{Critique of Contents}
\textit{Briefly describe your reaction to/impression of the contents
of the talk.}
\section{Critique of Style}
\subsection{Positive Aspects}
\textit{Briefly describe positive aspects of the speaker's
speaking/presentation style.}
\subsection{Negative Aspects}
\textit{Briefly describe negative aspects of the speaker's
speaking/presentation style.}
\end{document}