Provost speech/event participation form
Thank you for your interest in having interim Provost Arturo Saavedra participate in your event.  The questions below will help the provost and his staff determine his availability for the event as well as ensure that he can prepare in advance.  

Please fill out this form with as much information as you can now.  If needed, you can return to this form to fill in additional information at a later date.
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Email *
Name and title of person completing this form. (Contact information for the event leader is requested at the end of this form). *
Event details
Event name: *
Event type: *
Brief description of event *
Location (physical and/or virtual): *
Event date: *
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DD
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YYYY
Event start and end times (US Eastern time): *
Preferred provost arrival and departure times, in the event he is not able to stay for the full event (US Eastern time): *
If Provost Saavedra is not able to participate, would you like to discuss participation by other members of his senior leadership team? *
Event logistics
Who is the audience? *
What is the anticipated audience size? *
Will President Rao or any other cabinet member speak at the event?  If yes, please include the name(s) below.   *
Please provide a brief agenda of the event (order of speakers and topics).  If the agenda is not yet available, please indicate the date it will be available for the Provost. *
What is the presentation set up (podium, mic, etc.)? *
Will the event be recorded for posting on the web or live streamed? (select all that apply) *
Required
Provost's participation at this event
What is the provost's role for this event? *
If speaking, what is the preferred length of comments? *
If speaking, will the provost be introduced?  And, if so, by whom? *
Please describe any special concerns/issues/areas of interest that the group would like to hear addressed. *
Please list (if any) people in the audience who should be recognized (dignitaries from the group, politicians, donors etc.) *
Contact information
This is the person whom the provost or their staff may contact for detailed information about the event and their role.  This person will also be his contact on the day of the event.
Contact person's name and title: *
Contact phone: *
Contact email: *
A copy of your responses will be emailed to the address you provided.
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