Presidential Appearance Request Form
To assist the Office of the President in managing the Presidents schedule, please initiate any invitation for the President to speak at or attend an event by completing this form. Please complete and submit this form at least 4 weeks in advance of your scheduled event.
Name *
Prefix, First Last, Suffix
Your answer
Phone *
###-###-####
Your answer
Email *
Your answer
Name Organization *
Your answer
Web Site (if applicable)
Your answer
EVENT INFORMATION
Name of Event *
Your answer
Event Location *
Your answer
Street Address
Your answer
Address Line 2
Your answer
City
Your answer
State
Your answer
Zip/Postal Code
Your answer
Event Date *
MM
/
DD
/
YYYY
Event Start Time *
Time
:
Event End Time *
Time
:
Desired Role of the President *
Objective/Purpose of Event
Your answer
Number of Expected Guests
Your answer
Audience Composition *
Please check all that apply
Required
ADDITIONAL INFORMATION
What time should the President arrive?
Time
:
Who will greet the President upon arrival? *
Your answer
Title of Greeter
Your answer
Business Phone *
Your answer
Mobile Phone *
Your answer
Email
Your answer
If speaking at the event, is there someone the President should recognize by name from the podium?
Your answer
Suggested topics or talking points for the President (please be as detailed and comprehensive as possible)
Your answer
Biography Photo/Request
Will there be a photographer at the event? *
Will there be a videographer at the event? *
Will the media attend this event? *
Submit
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