Presidential Schedule Request Form REQUESTOR CONTACT INFORMATION Requestor Name (Title/First/Last Name) * Requestor Organization * University of UtahOther Requestor Organization Name of Specific Department or College * Approved by reporting VP, Dean or Director * Reporting VP/Dean/Director's email * Requestor Office Phone Number * Requestor Mobile Phone Number * Requestor Email * SCHEDULING INFORMATION Type of Scheduling Request * EventSpeechAppearanceMeetingVideo messageOther Type of Scheduling Request Please describe the request, including the title and nature of the event, meeting or other activity. * Is A/V available? * Yes No Has a university president attended this event in the past? * Yes No Date Requested * Start Time * 121234567891011 : 000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 AMPM End Time * 121234567891011 : 000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 AMPM Location & Address * Location & Address Location & Address Location & Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal DETAILED INFORMATION Day of Event Contact Name * Day of Event Contact Mobile Phone * General purpose of the event, theme, and/or ideas you would like included in the remarks. * What are the parking arrangements/instructions for President Randall? * EVENT DETAILS Critical range of time needed * President's role * HostSpeakerGuest of HonorGuestOther President's role Is it important for the president's spouse to attend? * Yes No Event format * Pre-recorded videoPodcastIn-personVirtual Type of remarks (if any) * WelcomeIntroductionRemarksOther Type of remarks (if any) Approximate length of remarks * Group Composition (check all that apply) * Faculty Staff Donors Community Students Alumni Trustees OtherOther High-Profile Attendees * Attire for Event * Black TieBlack Tie InvitedBusinessBusiness CasualCasual Submit Δ
