Speaking Request Form

About your event

Event name*

Event Date*

Event host or sponsor*

Department, college, school, center, or external organization

Event location*

Description of event / points to be addressed (provide details)*

Event start time*

:

Event end time*

:

Number of people expected*

Please describe audience*

Check all that apply

Donors
Elected officals
Students
Faculty/staff
Other

Please describe audience*

Is this a public event?*

Yes
No

Contact person for event*

Title*

Contact phone*

Contact email*

Enter Email Confirm Email

Are there any refreshments at this event?

Meal
Snacks
Appetizers
Beverages
Other

Please describe meal/refreshments here*

Dress code*

Business casual
Casual
Formal

Do you expect any media to attend?*

Yes
No

Will this event be videotaped?*

Yes
No

Will the tape be made available to others, and if so, how will it be shared?*

For events off campus, please briefly describe available equipment*

Example: podium, sound system, etc

About the President's role

President participation start time*

:

President participation end time*

:

Please describe the nature of the President's role*

No remarks necessary
Welcoming remarks (3-5 minutes)
Short remarks (5-10 minutes)
Speech (15-20 minutes)

Are there people in the audience who should be recognized/thanked? If so, who?*

Are there any other speakers? If so, who?*

If the President is not able to attend your event, would you like to have us recommend an alternate speaker?*

Yes
No

If yes, please suggest a speaker, i.e. faculty member, dean, etc.*

In addition to the above information, the following information should be provided to Lisa Pucci in the Office of the President at lisa.m.smith@maine.edu.

If the President's name is noted on invitation or material for an event, those pieces must be submitted to the Office of the President for review and approval prior to printing.
Agenda, program, or order of events due 5 business days prior to event.
List of attendees due 2 business days prior to event.
Table seating (if applicable) due 2 business days prior to event.

Comments

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

About your event

About the President's role

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