Requester Information
First Name
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Last Name
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Phone #
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Email
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Event Information
Department/Organization
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Event Name
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Event Date
Start Time
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AM
PM
End Time
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PM
When would you like the president to arrive?
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15
30
45
AM
PM
Location
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Event Overview
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Who should the President recognize or thank if she is giving remarks?
Participation Information
How would you like the president to participate?
Guest
Informal meet-and-greet
Welcoming remarks (less than 5 minutes)
Short remarks (5 minutes)
Speech (10-15 minutes)
Keynote address (15+ minutes)
Honoree (thank-you remarks)
Panel discussion
Event emcee
Video
Other
Topic/Talking Points
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Do you want the president to participate in a Q&A session after their remarks?
Yes
No
Not Applicable
Is the president's spouse invited to attend?
Yes
No
At the president's discretion
Not Applicable
Is a photo of the president needed?
Yes
No
Is a bio of the president needed?
Yes
No
Other Information
Audience Information
Expected Audience Size
Audience Demographic (Students, faculty, community leaders, etc)
Faculty
Staff
Students/Prospective Students
Alumni
Donors/Supporters
Community Members
Parents
Elected Officials
UofL Health
Other
Choose at least one.
Enter group name
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