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Office of the President
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Executive Cabinet
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Speaking Request Form
Please enable JavaScript in your browser to complete this form.
Date of Event
*
Time of Event
*
Event Location
*
Duration of Event
Event Dress / Attire
*
Business
Casual
Formal / Black Tie
Remarks requested?
Welcome (3-5 min)
Short Remarks (3-5 min)
Short Remarks (5-7 min)
Speech (10-15 min)
Keynote Address (20-25 min)
None
Will government or community leaders be invited to this event?
*
Yes
No
Will the online or in-person event be recorded?
*
Event contact person:
*
Cell phone number:
*
Alternative number:
*
Email
*
Will you be hosting your event remotely?
Yes
No
Tell us more about the president's role at your event:
*
Type of remarks (welcome, speaker introduction, keynote, panelist):
*
What are the key messages you would like the president to share?
*
Suggested length of remarks:
*
* What time should the president arrive at your event?
*
What time will the president speak?
*
Will there be a Q&A session?
*
Yes
No
Who will introduce the president (title and name)?
* Should the president thank or recognize any specific people or organizations?
Additional notes?
Name
Submit