Speaking Request Do you want the President to speak at your event? Submit this form! Event InformationEvent Name/Title * RequiredDate of Event * Required MM DD YYYY Purpose of Event * RequiredStart Time of Event * Required : HH MM AM/PM AM PM End Time of Event * Required : HH MM AM/PM AM PM President's Arrival Time * Required : HH MM AM/PM AM PM Organization * RequiredPoint of Contact for Event * Required First Last Email * Required Enter Email Confirm Email Point of Contact's Phone # * RequiredAudience * Required Students Faculty Staff Alumni Elected Officials Your Group Only Venue InformationEvent Venue * RequiredThe name of the venue housing the event.Location Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code RoomLocation Phone #Expected Number of AttendeesRain LocationIf a rain location has been designated, please indicate it here.Open to Public?YesNoDo You Need a Photo or Bio? Photo Bio Media Expected?YesNoAt the EventPresident's Role at Event * RequiredWelcome, keynote, etc. Issues for President to Address * RequiredPlease submit a short list of issues important to your organization for the President to addressEvent MC First Last Who Introduces the President? First Last Length of Time for President to Speak * RequiredWill There be a Podium?YesNoIs the President Expected to Introduce anyone?YesNoWhom Will the President Introduce? First Last Bio of Person President Introduces File uploadAccepted file types: doc, docx, pdf.Allowed file extensions - doc docx PDF. Will Awards be Presented?YesNoTo Whom Will Awards be Presented? Who Will Present Awards?Order of Speakers Other Dignitaries Attending Event Function Attire * RequiredBusinessCasualBlack Tie (Formal)Will Invitations be Sent From the President?YesNoDraft Invitation File uploadAccepted file types: doc, docx, pdf, .Please submit a draft invitation for approvalAllowed file extensions - doc docx pdf . Special ArrangementsGuests at Head Table Head Table?YesNoAdditional Special Arrangements?NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.