President Attendance Request Form

NOTICE: * FIELDS ARE REQUIRED.

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

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

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 the president's spouse's attendance requested?

Yes

Present's Role

* Is the invitation to come from the President?

Yes

Ex: President Timothy C. Caboni invites you to...

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

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:

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

Julia McDonald

Assistant to the President for Board & Executive Relations

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

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