PRESIDENTIAL SPEAKER REQUEST FORM
Please return to president@ttuhsc.edu
To confirm the President’s availability and participation, this request is due no later than 2 weeks prior to event.
EVENT DATE: START
TIME: END TIME:
EVENT NAME:
ORGANIZATION HOLDING EVENT:
HAS THE PRESIDENT ADDRESSED THIS GROUP OR ORGANIZATION IN THE PAST?
YES NO IF YES, WHEN? ___________
EVENT/ORGANIZATION WEBSITE:
EVENT BACKGROUND (ATTACH ADDITIONAL SHEETS IF NECESSARY):
ORGANIZATION BACKGROUND (ATTACH ADDITIONAL SHEETS IF NECESSARY):
EVENT LOCATION: ___
ROOM: _______________________
ADDRESS: ____
LOCATION TELEPHONE: _____ _______________
WHO WILL GREET THE PRESIDENT: MOBILE #: _____
PARKING: _______________________________________________________________________
SEATING: _______________________________________________________________________
