EmailMeForm
President's Appearance Request Form
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 6 weeks in advance of your scheduled event.
Contact Name
*
Prefix
First
Last
Suffix
Office Phone
*
###
-
###
-
####
Cell Phone
*
###
-
###
-
####
Email
*
Name of Organization
*
Web Site
*
Event Information
Name of Event
*
Event Location
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Event Date:
*
MM
/
DD
/
YYYY
Event Start Time
*
HH
:
MM
AM
PM
AM/PM
Projected Event End Time
*
HH
:
MM
AM
PM
AM/PM
Desired Role of the President
*
Attendee Only
Speaker - Welcome Remarks (3-5 minutes)
Speaker - Brief Remarks (less than 15 minutes)
Speaker - Keynote Remarks (15 minutes or more)
Panel Participant
Representative is Acceptable
Other
Please Describe Role
Is the Event Virtual or In-Person?
*
Virtual
In-Person
Both
Is this a Live Event or Pre-recorded Event?
*
Live
Pre-recorded
What date will the pre-recording will be published or broadcasted?
*
MM
/
DD
/
YYYY
Objective/Purpose of Event
*
Number of Expected Guests
Audience Composition
*
Students
Faculty
Staff
Alumni
Business Leaders
Community Members
Elected Officials
Members of your Organization Only
Other
(Please check all that apply.)
Please list name and title of Elected Official(s)
*
(Please be as detailed and comprehensive as possible)
Additional Information
What time should the President arrive?
HH
:
MM
AM
PM
AM/PM
Who will greet the President upon arrival?
*
Prefix
First
Last
Suffix
Contact's Title
Contact's Business Phone
*
###
-
###
-
####
Contact's Mobile Phone
*
###
-
###
-
####
Contact's 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 at the event?
*
Yes
No
Will there be a videographer at the event?
*
Yes
No
Will media attend this event?
*
Yes
No
Which media outlets have been invited or will attend?
Will or has a press release been sent about this event?
*
Yes
No
Will travel accommodations be provided?
*
Yes
No
Will an honorarium be provided?
*
Yes
No
