Invite Chancellor Haynes to your event

Type of request:

Appearance

Speaking

Event contact (first and last):

Event contacts email:

Event contacts phone number:

Phone

Event name:

Event date:

mm/dd/yyyy

Event location (building, room, address):

Event start time:

Event end time:

Requested speaking time for Chancellor (if appropriate):

Time allotted for remarks:

Type of event:

Formal event

Informal event

Setting (sit-down dinner, stand-up reception, etc):

Attire:

Photographer on site:

Yes

Speaking setup (podium, microphone, etc):

Are presentation slides requested (If yes, AV equipment will need to be provided):

Yes

Audience (e.g. alumni, students, industry, donors, employees - be specific):

Expected # in attendance:

Run of show: who else is speaking and what topics will each person address?

Names, affiliations, topics: (list all)

List specific topics, project, initiatives, etc. that should be addressed in the remarks - be detailed:

Names and affiliations of special attendees the Chancellor should acknowledge in her remarks:

What is the goal or expected outcome of this event

Is the Chancellor's bio needed:

If request is approved, a bio will need to be provided.

Yes

Is the Chancellor introducing anyone after her remarks? If yes, who (name, title):

Additional information:

Please add anything else you'd like us to know about this event or your plans for the Chancellor's participation.

Send me a copy of my responses