Request edit access
Presidential Speaking & Event Request Form
Please use this form to request the attendance or involvement of the Chowan University President at an event or activity. Due to scheduling, please complete the request form as soon as possible and at least two weeks in advance for attendance, and at least one month in advance for speaking engagements.
Email address *
Name: *
Your answer
Department: *
Your answer
Phone Number: *
Your answer
Name of Event: *
Your answer
Location: *
Please notify the office if the time, location or program changes
Your answer
Date *
MM
/
DD
/
YYYY
Time: *
Time
:
Is the President requested for the entire length of the event? *
Type of Attendance *
Key Functions: *
Remarks, gifts presentation, reading of citations, and so on
Your answer
President's Spouse Invited or Expected to Attend? *
Attire: *
Your answer
Participants: *
Please describe the audience; include names of special guest. *Please also include a guest list as soon as possible.
Your answer
Additional Event Information: *
Your answer
Responsible Staff: *
Give name, title and telephone number. Person(s) listed should be key to the event, able to answer questions, and the most knowledgeable about the event. Include name(s) of who will greet President upon arrival.
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Chowan University. Report Abuse - Terms of Service