David Ebert Speaking Requests

Please complete this form with as much information as possible for our record keeping of events requesting Dr. David Ebert, Chief AI & Data Science Officer. Please note, submission of this form does not guarantee Dr. Ebert's availability. You will be contacted by a member of our team confirming or declining Dr. Ebert's attendance.

For questions, please reach out Lauren Coronado.

Event Name

Event Start Date

mm/dd/yyyy

Is event date flexible?

Event Time(s)

Event Location

Please include address and room number if possible.

Event Description

Event Contact

UA Unit or External Organization Name

Event Contact Email

Event Contact Phone Number

Other Event Contact(s)

Partners/Collaborators

Special Guest Details

Audience

Who will be invited to this event?

UA Senior Leadership

Are any members of the UA Senior Leadership being invited or confirmed to attend?

Private or public

Critical Range Of Time Needed

Speaking Purpose

What role will Dr. Ebert serve at this event? (Emcee, Panelist, Keynote Speaker, etc)

Topics of Remarks

Length of remarks?

Powerpoint Presentation Needed?

Key Audience Members

Are there any key audience members that should be acknowledged in the remarks?

Attire

Food Served?

Will food be served at this event? This information helps us with scheduling events, travel time etc for Dr. Ebert.