Event/Speaking Request | Office of the Provost

Request the attendance of the:

Which vice provost(s) are you requesting?

Point of Contact

Name

First Last

Requesting organization:

Phone

Email

Name of event:

Event location:

Description/Purpose of event:

Has the Provost attended the event in the past?

Does this invitation include a guest?

Date of event:*

Event start time:

:

Event end time:

:

Is the attendance time frame flexible?

Estimated number of attendees:

Message topics or key points to be addressed by the Provost:

Length of Provost's address:

Will draft remarks be provided?

Will a PowerPoint presentation be expected?

Audience

Select all that apply

Please list the individuals who will be speaking at the event:

Please list all notable attendees: i.e. Regents, deans, elected officials, etc.

Suggested attire

Is this a fundraising event?

Is press/media expected at the event?

Additional details: