Provost Event Request

Dr. Bordelon is pleased to attend events internal to UHD and in the community. Please take a moment to provide the following details for your request. We appreciate adequate notice, preferably 2 weeks for events where she is an attendee; more than 2 weeks if she is an event participant (speaker, MC, etc.).

First Name

Last Name

Business Phone Number

Mobile Number (optional)

Name of Department/Organization

Event Information

Name of Event

Date of Event

mm/dd/yyyy

Start Time of Event

End Time of Event

Type of Event

Event Location

On/Off Campus

Desired Role of the Provost

Audience Composition

(Please check all that apply)

Faculty

Students

Staff

Alumni

Business Leaders

Community Members

Members of your Organization Only

Elected Officials

Other

Number of Guests Expected

Agenda

You may also attach a file below.

Event Agenda or other supporting materials

Please include any documents that may be helpful to the Provost.

Drop your files here

Send me a copy of my responses

Report Abuse