Requester Information
|
First name: |
|
Last name: |
|
Title: |
|
Company name and/or hosting department: |
|
Office phone: |
|
Cell phone: |
|
E-mail address: |
|
Event Information
|
Name of the event: |
|
Purpose of the event: |
|
Location of the Event: |
|
Date of the event (MM/DD/YYYY): |
|
Event Start time: |
|
Event End time: |
|
President's role during events: |
|
May the President bring a guest? |
|
If the President is unable to attend, will you accept an alternate? |
If yes, the President's Office will provide the name of the delegate who will speak on the behalf of the President.
|
Attendee Information
|
Estimated number of attendees: |
|
Will there be VIP's in attendance? |
|
Names and affiliations of VIP's who will be in attendance: |
|
Audience composition: |
Check all that apply.
|
Other, Please explain: |
|
Additional Details
|
Will you need the President's biography for this event? |
|
Will you need the President's photo for the event? |
|
Will the press be in attendance? |
|
Will the event be televised/livestreamed? |
|
Will photos be taken of the President? |
|
Speaking Role Details
|
Topics to be covered: |
|
Speech length (minutes): |
|
Will there be a Q&A session? |
|
Who will introduce the President? |
|
Will there be other speakers? |
|
Names and titles of other speakers: |
Please enter "None" or "TBD" if you are not providing names at this time.
|
If this is a virtual event, will the President's remarks be delivered live or pre-recorded? |
|
If pre-recorded, please provide a due date for the remarks (MM/DD/YYYY): |
|
Will the event be videotaped/recorded? |
|
Please provide any additional details: |
|