Presidential Appearance Request Form
Presidential Appearance Request Form
Name of event
Sponsoring organization
Contact person
Contact person
First
Last
Email
Office phone
Office phone
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Cell phone
Cell phone
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Fax
Fax
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Due to the president's schedule, not all requests can be accepted.
If the president is not able to attend your event, would you like
us to suggest a designee to speak on her behalf?
Yes
No
Event start (date and time)
Event end (date and time)
If the date cannot be met, please suggest alternative dates.
Description of event
Why do you want the President to attend?
Would you like the President's spouse to attend?
Yes
No
Optional
Audience-expected guests
Audience-expected guests
Donors and Friends
Alumni
Elected Officials
Community Members
Faculty and Staff
Students
Retirees
Parents and Families
Expected attendance
Attire
Event location
Event parking location
Would you like the President to make remarks?
Would you like the President to make remarks?
No remarks necessary
Welcoming remarks (3-5 minutes)
Short remarks (5-10 minutes)
Speech (15-20 minutes)
Major address (20+ minutes)
Panel discussion
Suggested topic of remarks
Will there be other speakers?
Yes
No
If so, who and in what order will they speak?
Are there dignitaries in the audience?
Yes
No
If so, whom?
Additional notes or comments