Requester Information
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| First name: |
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| Last name: |
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| Title: |
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| Company name and/or hosting department: |
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| Office phone: |
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| Cell phone: |
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| E-mail address: |
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Event Information
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| Name of the event: |
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| Purpose of the event: |
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| Location of the Event: |
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| Date of the event (MM/DD/YYYY): |
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| Event Start time: |
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| Event End time: |
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| President's role during events: |
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| May the President bring a guest? |
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| If the President is unable to attend, will you accept an alternate? |
If yes, the President's Office will provide the name of the delegate who will speak on the behalf of the President.
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Attendee Information
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| Estimated number of attendees: |
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| Will there be VIP's in attendance? |
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| Names and affiliations of VIP's who will be in attendance: |
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| Audience composition: |
Check all that apply.
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| Other, Please explain: |
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Additional Details
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| Will you need the President's biography for this event? |
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| Will you need the President's photo for the event? |
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| Will the press be in attendance? |
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| Will the event be televised/livestreamed? |
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| Will photos be taken of the President? |
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| Is there suggested attire for the event? |
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Speaking Role Details
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| Topics to be covered: |
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| Speech length (minutes): |
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| Will there be a Q&A session? |
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| Who will introduce the President? |
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| Will there be other speakers? |
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| Names and titles of other speakers: |
Please enter "None" or "TBD" if you are not providing names at this time.
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| If this is a virtual event, will the President's remarks be delivered live or pre-recorded? |
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| If pre-recorded, please provide a due date for the remarks (MM/DD/YYYY): |
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| Will the event be videotaped/recorded? |
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| Please provide any additional details: |
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