You must have JavaScript enabled to use this form. REQUESTOR INFORMATION School/Department/Organization Name Contact Name Phone Email Is the requesting group a school or organization affiliated with NMU? Yes No Please note the leadership within your group approving this request (e.g. advisor’s name) Why do you wish the NMU President to speak at this event? EVENT INFORMATION Name of event Location of event Date of event Time of event (start & end) Time commitment of the President’s participation at event Attend entire event Speak/Make appearance Meet and Greet/Reception Brief description/purpose of event Brief description of audience Miscellaneous information Additional information and requirements Attire for event Assigned seating Parking Food will be served Other… Enter other… Expected attendance SPEAKER REQUEST (complete this section only if request is for the President to speak at event) Type of remarks requested Welcoming remarks (1-3 minutes) Welcoming remarks (3-5 minutes) Short remarks (5-10 minutes) Full speech (11-20 minutes) Major address (21+ minutes) Additional time for Q&A Other… Enter other… Audience for event (check all that apply) Students Faculty Staff Alumni Campus Community Elected officials Group members only List dignitaries and other special guests Is an introduction of the President required? Yes No Introduction of the President details Will the President be expected to introduce anyone? Yes No Please, specify whom the President will be expected to introduce (submit bio and phonetic pronunciations of names and names of key people) Additional venue and event information (Please check all that apply) Podium and microphone available PowerPoint capability available Press/media are expected to attend Event is open to the public Additional comments Back-up attendee/speaker in case President Tessman is unable to attend/speak PRIOR TO EVENT If the President’s name is noted on invitation or material for an event, those pieces must be submitted to the Office of the President for review and approval prior to printing. Event Background All background info for President's remarks due 7 business days prior to event Biographical information (if applicable) due 5 business days prior to event Order of program due 5 business days prior to event List of attendees due 2 business days prior to event Table seating (if applicable) due 2 business days prior to event By entering my name and date below I declare that I have read and understand the procedures listed above and agree to abide by them. My name (signature) Date signed Leave this field blank
