President Attendance Request Form

NOTICE: * FIELDS ARE REQUIRED.

If you see this don't fill out this input box.

If the information for a particular field does not apply to your situation, please mark it with "N/A"

Please forward all information as soon as possible to the attention of:

Kim Lancaster
Executive Assistant
Office of the President
Western Kentucky University
Craig Administrative Center
1906 College Heights Blvd.
Bowling Green, KY 42101
(270) 745-3870

General Information:

* Name

* Organization/WKU Department

* Email

* Work Phone

* Mobile Phone

Event Information:

* Provide a clear description of the event:

* Event Date and Time:

* Event Location:

* Anticipated Number of Attendees:

* Anticipated Length of Event:

* Is the President’s spouse's attendance requested?

Yes

Welcome to attend, if available.

* If the President is not available, please choose a WKU representative who you would like to participate:

Provost

Dean of Students

Academic Dean

Other

If "Other" WKU representative was selected, please specify another representative.

President’s Role:

* Please specify what is being requested from the President (for example: to attend, provide remarks, participate in photos, etc.)

* If Presidential remarks are requested, please provide specific topics to address.

* Please provide anticipated program flow including other invited speakers and special guests.

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