Presidential Event Request Form

Event Information

Name of Event

Date of Requested Event

This event will be held

On Campus

Off Campus

Virtually

Event Location

Duration of Event

Requested President Arrival Time

Name of Sponsoring Department, Office, or Organization

Event Contact

Name

On-Campus Phone Number (Extension)

Cell Phone Number

Email Address

Event Details

Briefly describe the nature or purpose of the event.

Please specify:

Expected Number of Attendees at Event

What role will the president be serving during this event?

Duration of time President Rider is expected to attend event:

If you would like to request that President Rider deliver remarks, please note desired length, key themes, and overall message to share.

Please provide examples of specific speaking points (in bullet point format) of what you would like President Rider to address in her remarks.

Who will be introducing the president?

Please contact the Office of the President (president@etown.edu) for an event-appropriate introduction.

Names of other key participants at this meeting/event

Will your event/function include a reception or meal?

Yes

No

If yes, please describe briefly

Other comments relating to this event