Request VIP Presence for Events

Please use this form to request the presence of the Chancellor, Provost, Vice Chancellor for Student Affairs, or Dean of Students at events.

Note: complete a separate form submission for each individual you would like to request.

Request Chancellor, Provost, Vice Chancellor for Student Affairs or Dean of Students

First Name:

Last Name:

Email Address:

Whose presence do you request?

Chancellor Andrew Martin

Provost Beverly Wendland

Vice Chancellor for Students Affairs Anna Gonzalez

Dean of Students Rob Wild

Requested Participation:

Presence for remarks or presentation

FYI about event only

Please provide further information about the remarks or presentation:

Examples: order of presentation, sessions within event, etc.

Event Name:

Event Date:

Event Start Time:

Event End Time

Event Location:

Contact Name:

Contact Email Address

Suggested talking points:

Additional information and notes:

Examples: order of presentation, option for mic check, etc.

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