Event Request for the Chancellor's Calendar
This form should be used to request time on the Chancellor’s calendar for events only.

Please contact the Chancellor's office with questions related to your request at
chancellor@berkeley.edu or 510-642-7464.

Email address *
Name of event: *
Your answer
Brief description of the Chancellor's role at your event: *
Your answer
Unit requesting time on the Chancellor's calendar: *
Your answer
Target audience:
Format of event: *
Required
Will this be an annual event?: *
Expected number of guests: *
Your answer
Date & time: *
MM
/
DD
/
YYYY
Time
:
Alternative date & time:
MM
/
DD
/
YYYY
Time
:
Alternative date & time:
MM
/
DD
/
YYYY
Time
:
Location of event: *
Your answer
Event contact name and title: *
Your answer
Phone number: *
Your answer
Email address: *
Your answer
Department responsible for funding the event: *
Your answer
In the event that the Chancellor is not able to attend, please indicate which Vice Chancellor you prefer as an alternate:
Please note that our office does not schedule for the Vice Chancellors. You will need to reach out directly to their offices to request time.
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of UC Berkeley. Report Abuse - Terms of Service - Additional Terms