Attendance Request Form - President Gary Ransdell

NOTICE: ALL FIELDS ARE REQUIRED. If the information for a particular field does not apply to your situation, please mark it with "N/A"

GENERAL INFORMATION:

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:

Is the invitation to come from the President? Ex: President Gary A. Ransdell invites you to.....
Yes No

IF YES, please confirm who is to be invited to the event.

IF NO, what is the President'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:

Julia McDonald
Senior Administrative Assistant
Office of the President 1906 College Heights Blvd., #11001 Bowling Green, KY 42101 Phone: (270) 745-5394 Fax: (270) 745-4492