Request the President Attend an Event

Part 1. Your Organization Organization Name:
Street Address:
City:
State:
Contact Person:
Daytime Phone:
Cell Phone:
Email:

Part 2: Event Information Name of Event:
Purpose/Theme of Event:
Date:
Time:
Alternate Date:
Alternate Time:
Time President Should Arrive:
Location of Event: (Inlcude venue and room)
Street Address:
City:
State:
Phone at Event:

Part 3: Audience Describe Audience: (Faculty/staff, students, community members, donors, etc.)
Audience Size: