Request for Houston Community College Chancellor's Attendance or Participation

Request for Houston Community College Chancellor's Attendance or Participation

Thank you for your interest in having the Chancellor appear at your event. This form will assist the Office of the Chancellor in coordinating the attendance or participation of the Chancellor for your event.

Please submit the form online at least eight weeks prior to the event. All requests will be considered and responded to in a timely manner.

Online submission of this form is REQUIRED for all requests. If you have questions about the form, please email office.chancellor@hccs.edu or call the Office of the Chancellor at 713.718.5059.

Executive Approval Requirement*

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Contact Information

Name*

Phone Number*

Email*

Event Details

Name of Event*

Date of Event

Alternative Date

If the date requested cannot be met, please suggest an alternative date.

Scheduling Platform (Doodle Poll, Calendly, Mail Chimp, etc.)

If you are utilizing a scheduling tool to assess the Chancellor's availability, please include the link in the field below.

Start & End Time*

Meeting Format

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Location of Event*

Address

Building Name/Floor*

Please provide the building name, floor level, and room number for the event.

Parking*

Please provide parking information for the event, and if the Chancellor has any specific parking instructions.

Desired role of Chancellor*

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Suggested Talking Points*

Please provide 5–7 key points that should be mentioned in the Chancellor’s presentation and/or script. Note, the HCC Senior Writer may reach out to you for more details.

Topic of Presentation/Time allotted

If you are requesting the Chancellor to present, please provide a brief description of the presentation and time allowed.

Attach Draft Program/Agenda

Please upload the draft agenda or program with the initial request. Once the agenda/program has been finalized please update your appearance request with the final program.

Drag and drop files here or

Who will introduce the Chancellor?

Is a podium available?

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Is a microphone available?

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Do you require a bio or headshot for the Chancellor?

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Audience Composition

(Select all that apply):

Students

Staff/Faculty

Community/Business Leaders

Board of Trustees

Please select the trustee(s) who have been extended an invitation to participate.

Select

Elected Officials (Please list below):

Number of attendees*

Attire*

Please provide information on attire: Business Casual, Formal (Black Tie), or other—please explain.

Send me a copy of my responses

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