Request for President's Attendance or Participation

Name of Event*

Date of Event*

Contact Name*

Name of Organization*

Contact Email Address*

Contact Phone Numbers*

Please provide office and cell for day-of event needs.

Overview and Purpose of Event*

Event Location*

Complete address including room number

List UofM administrators, special guests or VIPs attending the event

Function Atmosphere (and attire)

Business

Casual

Formal (Black Tie)

Other

Nature of Audience

Students

Faculty

Staff

Alumni

Community

Check all that apply

Number of Attendees Expected

Role President is to Play

Attendance Only

Participation

If you checked "Participation," describe the nature of the role

Welcome Remarks

Panelist

Master of Ceremonies

Introduction

Informal Discussion

Keynote Address/Presentation

Interview or Q&A

Award Presentation

Other

Choose all that apply

Focus Areas to Include in the Remarks

List the Order of Speakers or Describe the Flow of Events

Indicate the Time the President's Part in the Program Begins, Ends and # of Minutes

Will the following items be available?

Podium

Presentation Screen

Computer

Microphone

If speaking, who will introduce the President?

Should they plan to stay for the entire event, if possible?

Yes

No

Additional Comments

Please email any additional background material (program agenda, confirmed guest list, table/eating arrangments, guest names of others at the table, bios, speaker's notes, description of your organization, etc.) to larnett@memphis.edu.