Speaking request
Please use this form to request that Chancellor Feyten speak at your event. Requests need to be submitted at least three (3) weeks in advance of the date you would like the chancellor to speak.
Short description of the event
Please provide the event name (e.g., Go Red for Women 2017) or describe the event as succinctly as possible.
Your answer
Long description of the event
Your answer
Event URL
Please include a URL to an event details page, if you have one.
Your answer
When would her speaking role begin?
Requests need to be submitted at least three (3) weeks in advance of the date selected below.
MM
/
DD
/
YYYY
Time
:
Alternate dates
If there are alternate dates, please list them in the order of preference below.
Your answer
What time does the event start?
Time
:
How long should she speak?
Your answer
Where will the event take place?
Please be as specific as possible (venue address) and describe the room setup. Will there be an elevated stage, a podium? How with the audience seating be arranged?
Your answer
Additional presence?
How long would she need to stay beyond the end of her speaking part? What would be involved?
Your answer
Who is the audience?
Give as detailed description as you can: expected attendance numbers, demographics of expected attendees, and overarching audience expectations.
Your answer
About what should she speak?
Describe the topic she should speak about in as much detail as possible.
Your answer
Why the TWU chancellor?
Is this something about which only the TWU chancellor can speak? Is there a compelling reason to pick her? Please explain.
Your answer
How will the event be marketed?
Your answer
What media presence is expected?
Will there be a press release and are you planning to invite any media?
Your answer
What arrangements will be made for photography or videography?
What technology will be available?
Chancellor Feyten uses Keynote by Apple for her slides. If she uses slides for this event, she needs to connect her Mac laptop to the projector. HDMI connections are preferable as her slides will be 16:9 aspect ratio and many times include audio. This is not a request for all of these technologies; rather, it's intended to understand what's available so the chancellor can best prepare.
Will a microphone be necessary?
If a microphone will be necessary and provided, please describe whether it will be handheld, lavalier, or headset and wired or wireless. Some clothing choices are better suited for various microphone scenarios.
Your answer
Travel & Logistics
Please describe any travel instructions, accommodations, reimbursements, honorariums, and other logistics.
Your answer
Other comments
Is there anything else the chancellor should know that has not been addressed above?
Your answer
Confirmation deadline
By what deadline do you need a response?
MM
/
DD
/
YYYY
Time
:
Requestor's name
Your answer
Requestor's organization
Your answer
Requestor's e-mail address
Your answer
Requestor's contact phone number
Your answer
Other details about the requestor
Is there anything else about you that would help the chancellor in making a decision about this speaking opportunity?
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Texas Woman's University. Report Abuse - Terms of Service