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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