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PRESIDENT SPEAKING ENGAGEMENT/APPEARANCE FORM
Please fill out this form for all requests for the President to deliver remarks and/or attend an event. Requests should be received no later than 30 days in advance of the event and all information on this form must be completed. The Office of the President tries to accommodate requests that support the mission of the University and appreciates your understanding when scheduling conflicts prohibit the President's participation. Times requested for the President's participation should be as accurate as possible, as the President often has multiple events in one day. Once completed, you will be contacted by a staff member in the President’s Office to confirm the President's availability. Please allow 48 hours after submission to receive a response.
NOTE: If your event changes after submitting this request, the request is received less than 30 days in advance, or you do not receive a response with in 48 hours after submitting your request, please email Mrs. Sherry Washington at washingtons24@wpunj.edu as soon as possible.
EVENT REQUEST:
Event Name:
Event Location:
Start Time of Event:
End Time of event:
Required Arrival Time for the President:
Event Date (If your event is less than 30 days away, please also contact the President's Office to confirm the President's availability)
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EVENT CONTACT
Name:
Sponsoring Company/Department:
Office Phone Number:
Email:
Master of Ceremony:
Please note the leadership within your department, office, company approving this request (name, title, and contact information):
Is registration required for this event?
Yes
No
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