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UA Executive Remarks Request Form
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UA Executive Remarks Request Form
UA Executive Remarks Request Form
Main Content
Requestor Information
Name
*
First
Last
Email Address
*
Phone
*
Executive Requested for Remarks
Select One
*
Dr. Hatch
Rogan Kersh
Mark Petersen
Donna Boswell
Have you reserved time on speaker's calendar for this meeting/event with Presidential Advancement?
*
Yes
No
Meeting/ Event Information
Date of Meeting/Event
*
Date Format: MM slash DD slash YYYY
Time of Meeting/Event
*
Meeting/Event Type:
*
Breakfast
Lunch
Dinner
Reception
Meeting
Name of Meeting/Event:
*
Purpose of Meeting/Event:
*
Office Hosting Meeting/Event:
*
Approximate Meeting/Event size:
*
Meeting/Event location (if known):
Speaker Information
Purpose of Remarks
*
Toast
Introduction
Welcome
Keynote
Presentation
Other
How long will (insert name) need to speak? Enter time range:
*
Is there a particular topic (insert name) should speak on based on the theme of your meeting/ event? Provide suggested talking points here:
*
Who will be attending the meeting/event?:
*
Students
Parents
Trustees
Volunteers
Young Alumni
Emerging Alumni
Mature Alumni
Boards & Councils
Donors
Others
List "Others" here:
*
Comments
Please provide any further information useful to this request:
Comments
This field is for validation purposes and should be left unchanged.
