SCHEDULING REQUEST FORM: Dean Mohamed S. Ahmedna, College of Agriculture and Environmental Sciences

SCHEDULING REQUEST FORM: Dean Mohamed S. Ahmedna, College of Agriculture and Environmental Sciences

INSTRUCTIONS

PLEASE ALLOW TWO WEEKS FOR THE CONSIDERATION OF YOUR REQUEST.
Complete this form in its entirety. An incomplete form will not be considered a formal request and the provided information will not be considered for scheduling.

Section 1: General Contact Information

Name of requestor*

Requestor's email*

Requestor's day phone*

Phone

Requestor's cell phone*

Phone

Section 2: Event Coordinator Information

Event Coordinator's name*

Event Coordinator's email address*

Event Coordinator's day phone*

Phone

Event Coordinator's cell phone*

Phone

Section 3: Event Information

Date of the Event*

Name of the event*

Brief description of the event*

Location of event*

Location phone*

Phone

Start time*

End Time*

Time by which the Dean will need to arrive*

Audience (include all possibilities)*

Will dignitaries be part of the event?*

Please list all dignitaries and their titles*

Is this an outdoor event?*

Rain site location*

Rain site phone*

Phone

Section 4: The Dean's Role

Please select all that apply*

Select or enter value

Please specify details*

Please attach ceremony details*

Drag and drop files here or

Is a speech required?*

What is the desired length of the speech*

Topic of speech*

Section 5: Other Details

Name of person that will greet the Dean*

Greeter's title*

Greeters day phone*

Phone

Greeter's cell*

Phone

Send me a copy of my responses

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