Presidential Speaking/Meeting Request Form

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Thank you for your inquiry into President Adsit's availability to attend your event. Please complete the form below to request his attendance or involvement at an event or activity on campus. To assist with scheduling, please complete this request one month in advance, or earlier, from date of event.

You will receive a follow-up response regarding President Adsit's availability. If you do not receive a response within 10 days or if you have any other questions, please email Barbara Connolly at barbara.connolly@msmc.edu. Thank you.

Your Information

Contact Name *

Phone Number/Extension *

Department or Company Name *

Email Address *

Event Information

Event Name *

Date of Event *

YYYY

Time of Event *

Time

Event Location *

Details of Event

Type of Attendance Requested *

Attendance Only (i.e. shaking hands/mingling)

Welcome/Introduction

Keynote Speaker

Other

Required

Please include details below: *

(i.e. length of speech, topic, audience, goals, special guests, other)

Additional Comments

Submit

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