Event Information Event name* Date of meeting/event* Start Time* --Select time-- 7:00 a.m. 7:30 a.m. 8:00 a.m. 8:30 a.m. 9:00 a.m. 9:30 a.m. 10:00 a.m. 10:30 a.m. 11:00 a.m. 11:30 a.m. 12:00 p.m. 12:30 p.m. 1:00 p.m. 1:30 p.m. 2:00 p.m. 2:30 p.m. 3:00 p.m. 3:30 p.m. 4:00 p.m. 4:30 p.m. 5:00 p.m. 5:30 p.m. 6:00 p.m. 6:30 p.m. 7:00 p.m. 7:30 p.m. 8:00 p.m. 8:30 p.m. 9:00 p.m. 9:30 p.m. 10:00 p.m. End Time* --Select time-- 7:00 a.m. 7:30 a.m. 8:00 a.m. 8:30 a.m. 9:00 a.m. 9:30 a.m. 10:00 a.m. 10:30 a.m. 11:00 a.m. 11:30 a.m. 12:00 p.m. 12:30 p.m. 1:00 p.m. 1:30 p.m. 2:00 p.m. 2:30 p.m. 3:00 p.m. 3:30 p.m. 4:00 p.m. 4:30 p.m. 5:00 p.m. 5:30 p.m. 6:00 p.m. 6:30 p.m. 7:00 p.m. 7:30 p.m. 8:00 p.m. 8:30 p.m. 9:00 p.m. 9:30 p.m. 10:00 p.m. Timeframe/duration of the president's presence* Location/address of event/meeting* President’s role selections* --Select-- Speaker Attendee Welcome/Greeting & Overview Testimonial Keynote Speaker Master of Ceremonies Panelist Interview or Q & A Award Presentation Judge Honoree Informal Discussion Will the president's name be included in printed materials and/or event promotion?* Yes No Speaking Logistics Are speech/remarks from president requested?* Yes No Length of remarks/speech Topics of remarks/speech Talking points (Please include detailed talking points that the president is requested to cover in his remarks. Note that the amount of content provided should correspond to the length of remarks requested.) Who will be introducing the president?* Questions and answers session? Yes No Length of questions and answers session Persons in the audience to be recognized (dignitaries, politicians, donors, etc.) Event Details Purpose of event* Event type --Select-- Speech Meeting Ceremony Event Kick-off Fundraiser Meal Event (Breakfast, Luncheon, Business Dinner, Formal Dinner, etc.) Panel Discussion Reception Type of audience* Alumni Board of Trustees Community/Civic Elected Officials Faculty Legislators Parents Staff Students Other Projected attendance* Dress code* Casual Business casual Business Formal Will there be a head table?* Yes No Unknown If so, who will be seated at the head table? Contact Information I am* an external requester a faculty a staff a student/RSO Company name* Is your dean aware of this request?* Yes No Dean name* Is your supervisor aware of this request?* Yes No Supervisor name* Is your faculty advisor aware of this request?* Yes No Faculty advisor name* Name of requester* Title of requester* Department* Email address* Day phone* Cell phone Person to meet the president at the event (please include office and cell numbers)* Rationale for the president's attendance* Please attach PDF INSTRUCTIONS: Please attach a PDF of any available invitation, brochure, flyer, or additional information related to the event Upload PDF Files must be less than 8 MB. Do not fill in this field:
