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Presidential Speech Request

Please complete the following form to request the president to speak at or attend an event. The President’s Office attempts to accommodate as many speaking requests as possible and appreciates your support of the university.

Please Note: Submitting this form does not guarantee that the president is available to speak at or attend your event. You may wish to contact the President’s Office directly to ascertain whether the president will be available during the time you will be requesting him to be at your event. The President’s office will contact you to confirm whether or not the president is available to attend your event once this form is received.

All fields are required except as indicated.


Enter the date of the event and the event's title.
(Example: 1-1-13, Leadership Dinner)


 





Event Address

(Optional)


(Optional)




Speech Details


Type of Remarks Requested
 





 


Is there a particular topic the president should discuss? Does the group have any special causes or concerns to be addressed? Please provide such bulleted points.
 

Check All That Apply
 



 


(Example: Student Leaders, Alumni and Donors)
 


 

On-site Contact Name and Cell Phone Number



Form Completed By





  • President’s Office
  • Sutton Hall, Room 201
    1011 South Drive
    Indiana, PA 15705
  • Phone: 724-357-2200
  • Fax: 724-357-3060
  • Office Hours
  • Monday through Friday
  • 8:00 a.m.–12:00 p.m.
  • 1:00 p.m.–4:30 p.m.