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Special Event Attendance/Speaker Request Form

Special Event Attendance and Speaker Requests for Kent State University President or Provost

Requests must be submitted a minimum of six weeks in advance. Requests are granted for only the president or the provost to speak at an event, not both.

Contact Information    *Indicates Required Fields

Sponsoring Unit or Organization*:  

Event Contact*  

Contact Phone*:  

Contact E-Mail*:  

Contact Mailing Address:  

Contact Fax:


Event Information

Name of Event*:  

Event Date*:  

Event Time
Start Time*   End Time*:  

Program Start Time*:  

Event Size* (approximate number of attendees):  

Event Location*:  

Event Dress/Attire*:

      Business       

      Casual       

      Formal/Black Tie       


Attendee/Speaker Information

Requested Attendee*

      President       

      Provost       

Will Requested Attendee Be Speaking?* 

      Yes       

      No       

Note: If you are requesting the attendance of both the President and the Provost, you must fill out a form for each. You may request for both to attend, but only one to speak.

Type of Remarks Requested*:

      Welcome (3-5 min)       

      Short Remarks (5-7 min)       

      Speech (10-15 min)       

      Keynote Address (20-25 min)       

      None       

Topics to be Addressed* (if not applicable, put NA):
 

Key Talking Points* (if not applicable, put NA):
 

Other Event Speakers:
 


     
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