Office of the President

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.

Name This field is required. First, Last Phone This field is required. ###-###-#### Email This field is required. Name of Organization This field is required. Web Site <span style="text-decoration: underline;"><strong>Event Information</strong></span> Name of Event This field is required. Event Location This field is required. Address, City, State, Zip Event Date datetime This field is required. Event Start Time datetime This field is required. Event End Time Desired Role of the President This field is required. Attendee Only Speaker - Welcome Remarks (3-5 minutes) Speaker - Brief Remarks (less than 15 minutes) Speaker - Keynote (15 minutes or more) Panel Participant Other Objective/Purpose of Event Number of Expected Guests Audience Composition Students Staff Faculty Alumni Business Leaders Community Members Elected Officials Members of your Organization Only Other Please check all that apply. <span style="text-decoration: underline;"><strong>Additional Information</strong></span> What time should the President arrive? Who will greet the President upon arrival? This field is required. First, Last Name Title Business Phone This field is required. ###-###-#### Mobile Phone This field is required. ###-###-#### 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 Biography Long Biography Hi-Resolution Photo Please check all that apply. Will there be a photographer for the event? This field is required. Yes No Will there be a videographer at the event? This field is required. Yes No Will media attend this event? This field is required. Yes No Will Travel accommodations be provided? This field is required. Yes No Will an honorarium be provided? This field is required. Yes No

Thank you for submitting the Presidential Appearance Request Form. Your form has been submitted successfully and you will be contacted by a representative from the President's office at the information provided. If you have any additional questions and/or comments, please contact the president's office at: 318-<span>274-6117 or&nbsp;<a href="mailto:prez@gram.edu">prez@gram.edu</a>.&nbsp;</span> Your&nbsp;Presidential Appearance Request Form was NOT submitted. Please&nbsp;contact the president's office at: 318-274-6117 or&nbsp;<a href="mailto:prez@gram.edu">prez@gram.edu</a>&nbsp;for further assistance, thank you. Jacksonj@gram.edu; lemellemar@gram.edu; smithke@gram.edu formdefault@gram.edu Presidential Appearance Request Form