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WESTERN



Your Name:

E-Mail:

Event Description:

Event Date:

Event Contact Person:

Work Phone:

Mobile/Other Phone:

Fax:

Mailing Address:

Other Contact Information:

EVENT INFORMATION
Time:

Location:

Location Phone Number:

Location Contact Person:

Dress Attire:


Is Mrs. Ransdell's attendance requested?:
Yes No

President Ransdell's Role:

Length of Remarks:

Specific Topics to Address:

Other Program Participants (VIPs) in Attendance:

Anticipated Attendance:

Are You Expecting Media at Your Event?:
Yes No

IF EVENT IS OFF CAMPUS, PLEASE INCLUDE:

Drive Time from WKU Campus to Location:

Onsite Contact Information (If other than event contact):

Directions:

Any Other Important Details:

Please provide the following to the Office of the President:

  • Completed atttendance request form
  • Parking information (if event is off campus)
  • Event agenda
  • News release or other material provided to the media by your organization
  • Suggested talking points, background information or speech guidelines

Please forward all information as soon as possible to the attention of:
Torie Cockriel
Executive Administrative Assistant
Office of the President
1 Big Red Way
Bowling Green, KY 42101
Phone: (270) 745-4493
Fax: (270) 745-5300