Office of the President

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Presidential Appearance Request Form

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To assist the Office of the President in managing the president's schedule, please initiate any invitation for the president to speak at or attend an event by completing this form. Please complete and submit this form at least 4 weeks in advance of your scheduled event.

If you see this don't fill out this input box.

*Name

First, Last

*Phone

###-###-####

*Email

*Name of Organization

Web Site

Event Information

*Name of Event

*Event Location

Address, City, State, Zip

*Event Date

*Event Start Time

Event End Time

*Desired Role of the President

Attendee OnlySpeaker - Welcome Remarks (3-5 minutes)Speaker - Brief Remarks (less than 15 minutes)Speaker - Keynote (15 minutes or more)Panel ParticipantOther

Objective/Purpose of Event

Number of Expected Guests

Audience Composition

StudentsStaffFacultyAlumniBusiness LeadersCommunity MembersElected OfficialsMembers of your Organization OnlyOther

Please check all that apply.

Additional Information

What time should the President arrive?

*Who will greet the President upon arrival?

First, Last Name

Title

*Business Phone

###-###-####

*Mobile Phone

###-###-####

Email

If speaking at the event, is there someone the President should recognize by name (from the podium)

Suggested topics or talking points for the President (please be as detailed and comprehensive as possible)

Biography Photo/Request

Short BiographyLong BiographyHi-Resolution Photo

Please check all that apply.

*Will there be a photographer for the event?

YesNo

*Will there be a videographer at the event?

YesNo

*Will media attend this event?

YesNo

*Will Travel accommodations be provided?

YesNo

*Will an honorarium be provided?

YesNo

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