Request for President’s Attendance or Participation
To request the President’s attendance/participation at an event, please complete this form. Allow as much
advance notice as possible for your request. You will be notified of the President’s availability as soon as possible.
Instructions for completing this form: Click on the gray box: text fields will expand to accommodate more text as
you type and checkboxes will be filled in with an “X.” Save a copy of the document for your files and forward a file
copy of this form along with other information, as appropriate, to larnett@memphis.edu as an e-mail attachment.
*Name of Event
Note: Items marked with
an asterisk (*) are
required fields.
*Date of Request:
*Date of Event
*Time event: (begins)
(ends)
*Contact’s Cell Phone
Fax
*Contact Name
*Name of Organization
*Office Phone
*E-mail
*Overview and Purpose of event
*Event Location (complete address including room number)
*List U of M administrators, special guests or VIP’s attending the event
*Function Atmosphere (and dress):
Business
*Nature of audience (check all that apply):
Casual
Students
Formal (Black Tie)
Faculty
Staff
Other (please explain)
Alumni
Community
*Number of attendees expected:
ROLE PRESIDENT IS TO PLAY (choose one):
Attendance Only
Participation
If you checked "Participation":

*Describe the exact nature of the role the president is expected to play (check all that apply):
Welcome Remarks
Introduction
Panelist
Informal discussion
Master of Ceremonies
Keynote Address/Presentation
Interview or Q&A
Award Presentation
Other (please describe)

*Focus areas to include in the remarks

List the order of speakers or describe the flow of events

*Indicate the time the president’s part in the program begins

Is a podium available?
Yes
No Presentation screen?

Computer available?
Yes
No Microphone available? Hand held

Who will introduce the president?

Should they plan to stay for the entire event, if possible?

Additional Comments:

Please email background material (e.g., program agenda, confirmed guest list, table/eating arrangements
(guest names of others at the table), bios, speaker's notes, description of your organization, etc.) to
larnett@memphis.edu .
and ends:
Yes
Yes
. No. of minutes:
No
Lavaliere/lapel
None
No