President's Appearance Request

President’s Appearance Request

If you would like the President to attend or speak at your event, please submit this form.

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Event Information

Name of Event*

Date of Event*

Event Start Time*

Event End Time*

Event Location*

Event Type*

ex: conference, dinner, campus orientation, networking, etc.

Event Website (if applicable)

Event Background & Purpose*

Schedule / Agenda*

Please provide an agenda or speaking program here (if applicable) as well as any other relevant information to the schedule of the event

President's Office Information

President's Role*

Length of Presidents Remarks

Time President Should Arrive*

Talking Points

Are there specific talking points the President should make in his remarks?

Designee*

If the President is unavailable, would you like a different senior leader to represent him?

Guest Attendance Information

Anticipated Number of Attendees*

Media Attendance*

Do you anticipate any media in attendance, including WSU Marketing team?

Worcester State Alumni

Please list any WSU alumni that will be in attendance

Dignitaries

Please list any local, or other official leaders and honorable guests that will be in attendance

Form Information

Prepared By*

First Last

Email*

Phone*

Day of Contact*

First Last

Email*

Phone*

Notes

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