Request for University of South Alabama President's Attendance or Participation in an Event

If you see this don't fill out this input box.

Contact Person Information

*First Name

Middle Name

*Last Name

*Telephone

*Email

Fax

*Address

*City

*State

*Zip-code

*Country

Event Information

*Name of Event

*Purpose

*Location

*Date

*Time Begins

*Ends (Approx)

If any of the following apply, please provide the beginning times for each:

Dinner

Luncheon

Presidents Role:

Attendance Only Participation

If you checked "Participation," Please complete all sections of this request form.

If you checked "Attendance Only," Please complete the sections above only and then click the "Submit the Request" button below.

Please provide a list of other members of the University Administration who will be invited to attend.

Admin Members

Is the President's wife expected to attend?

YesNo

Event Atmosphere (and dress):

Business CasualFormal (Black Tie)

Other (Please explain)

Number of Guests Expected

COMPLETE THE SECTION BELOW ONLY IF THE PRESIDENT IS EXPECTED TO PARTICIPATE IN THE PROGRAM. UPON RECEIPT OF THIS FORM, YOU WILL BE CONTACTED BY THE SPECIAL EVENTS COORDINATOR FOR THE PRESIDENT.

1. Describe the exact nature of the role the President is expected to play. Please check all that apply:

A - Topic: (Please be specific):

B - Please provide names and introductory information

C - Please provide information about the interviewer and/or reasons for interview or Q and As

D - Please provide names of recipients, information about the award, why the recipient(s) is receiving the award:

E - Please provide bios, speaker's notes, description of your organization and other information as requested:

F - Please skip questions 2 - 5.

Please provide a copy of the program or meeting agenda one week prior to event.

2. Is a podium available?

YesNo

2. Is a microphone available?

YesNo

3. List the order of speakers or describe the flow of events, indicating the approximate time the President's part of the program begins and ends.

4. Who will introduce the President?

5. Is the President free to leave after his remarks?

YesNo

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

YesNo

If the President is the Master of Ceremonies or Host, please provide:

a. Printer's Proof of Invitation prior to printing.

b. Printer's Proof of Program prior to printing.

c. Guest List. (ASAP or at least one week prior to mailing of invitations).

d. Drawing of room with seating assignments.

e. Copy of the printed program

Please click the checkbox below to complete user verification.