Speaker Request-亚博体育

Event Information

Name of Event*

Type of Event*

Other

Please specify your event type

Date of Event - First Choice*

Please select your first choice day, month and year for this speaking engagement.

Date of Event - Second Choice*

Please select your second choice day, month and year for this speaking engagement.

Date of Event - Third Choice*

Please select your third choice day, month and year for this speaking engagement.

Time of Event*

:

Please indicate the time of your event.

Purpose of Event*

History of Event*

Proper Attire*

Number of Guests Invited*

Venue Location*

Venue Description*

Name*

First Last

Job Title*

Organization/Department*

Email*

Phone*

How will the President's attendance contribute to the success of your event?

If the President is not available on the 1st Date chosen or any alternate dates, would you like for the President to send a representative?*

In what capacity are you asking the President to act?*

Other

How long will the President need to speak?*

Type of Audience*

Other

Is the President's Biography or official headshot needed?*

Is there an honorarium associated with the event?

*All honorariums/ speaker fees support the “President’s Endowment Scholarship for Students”.