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Test Student Affairs Event Request Form
EVENT REQUEST: President and First Lady
This form is to be used for events within Student Affairs where the presence/participation of President and/or First Lady is desired. This form is only a request. You will receive a follow up email and contacted directly only if this event can be accommodated.
Event Information
Title
*
Date
*
Event Start Time
*
Event End Time
*
Time you would like President/First Lady to attend
*
Location
*
Event Host/Sponsor
*
Is a meal service provided
*
Yes
No
Other
Attire
*
Provide an overview of the agenda or program
Upload agenda or program
This is optional
Contact Information
Contact Name
*
Contact Organization
*
Contact Address
Contact Phone
*
Contact Email
*
Type of Participation Requested
Choose participation type
Select all that apply
Welcoming Remarks
Pep Talk
Master of Ceremonies
Brief Remarks
Keynote Speech
Presentation with Slides
Interactive Workshop
Other
Please be specific
Length
(in minutes)
Please provide description/details
Topic or theme
Who is introducing the event
Audience Information
Number attending
Names of special guests
Audience Group
Please select intended audience types
Select all that apply
Students
Parents
Staff
Faculty
Community Members
Alumni
Other
Please describe
Requested Participant
Please choose a desired participant
*
President Schulz (only)
First Lady (only)
Both President and First Lady are requested to attend
Alternate Speaker
If the President or First Lady are unable to attend, please let us know if there is another staff member (include a topic if different) we should reach out to.
Participant Ticket Information
Participant Entry
The participant needs to purchase their own ticket.
The event is complimentary.
Other
Please explain: