Event Request Form

Thank you for your interest in inviting President Evans to participate in your event. Please fill out the below event request form and submit as far in advance of your event date as possible, but no later than three weeks in advance.

Please note submission of the form is not a confirmation of attendance. Scheduling conflicts prevent Dr. Evans from accommodating every request, but he looks forward to participating whenever possible.

About Your Event

Event Name*

Event Date/Time*

Event Location*

Please include address, building name/number, room name/number

Hosting Organization*

Department, School, Faculty/Student Organization, External Group

Event Contact*

Prefix

First Name

Last Name

Email*

Phone*

Event Theme and Purpose*

Event Attire*

Does the request for attendance extend to the president’s spouse?*

Yes No Optional

Event Audience*

Please describe invited guests: donors, students, faculty, staff, parents, friends of UIW or any other groups. If special guests are expected, please indicate name and titles.

Expected Number of Attendees*

Are members of the media invited or expected to attend?*

Will the event be recorded? *

Yes No

If so, how will it be shared?

About Dr. Evans Role

Please describe the requested role for Dr. Evans:*

Please indicate whether the invitation is as a guest only, a speaker, an award presenter, or any other role.

Are you requesting remarks?*

If so, please describe the nature of the remarks such as welcome, close, keynote, etc., estimated length of speaking time, where remarks fall in the event program and any important details.)

Please describe any audio-visual requests.

Please provide any other details relevant to the president’s role.

About the Event Logistics

Please indicate where Dr. Evans is to park.

Please indicate where Dr. Evans is to be seated.

Is a meal to be served?

Please include event program below or upload a PDF.

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