Point of contact (please include name, email address and primary phone number) *
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Date and time of event (please include start and end times, as well as the time zone) *
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Objective and brief background of event *
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Audience profile and key participants (please include size and demographics) *
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Time frame/duration of the president's participation and responsibilities (please include pre-event meetings/calls, tech check, the event itself, Q&A, post-event activities, and amount of time for each) *
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Describe the nature of the president's role *
If requesting substantive remarks, what topic(s) will be discussed? *
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Names and titles of other speakers or panel participants *
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Is the event open to the public or will access be limited? *
Is the event open to the media? *
Will the event be recorded/videotaped? *
If there are any promotional materials for the event, please indicate here. *
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Please include amount of honorarium being offered, if any. *
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Please provide any other pertinent information the president should have in reviewing your request. *
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Please Note
In addition to the above information, the following should also be provided:
* If the president’s name/image/likeness is noted on invitation or material for an event, drafts must be submitted to the President’s Office for review and approval prior to printing.
* Order of program/run of show due three business days prior to event.