Vice Chancellor for Student Affairs Event Request

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Vice Chancellor for Student Affairs Event Request

Vice Chancellor for Student Affairs Event Request Form

Event Information

Event Name:

Event Date:

Time frame of the Event:

Time frame that you require the Vice Chancellor's time:

Event Organizer's Information

Organization Sponsoring the Event:

First Name:

Last Name:

Email:

Phone Number:

Location of the event:

Vice Chancellor Information

Have you received a confirmation of the Vice Chancellor's attendance at this event?

YesNo

Would you like the Vice Chancellor to make remarks at this event?

YesNo

Please describe the audience, including how many are expected and what groups will be represented:

How long would you like Vice Chancellor to speak for?

Is this event celebrating any milestones?

Should the Vice Chancellor thank anyone, if so who?

Please describe any general themes for her remarks.

Additional Information

Program:
Please paste a draft of your event's overall program below. Please include the names and roles of any other speakers who are participating in the event. If the final program is different from this draft, please email it to Michael Metzger.

Any additional files you would like to share as part of this request?

Additional File:

Any additional information that would be helpful to know (e.g., the bio of a speaker the Vice Chancellor will be introducing)?

Contact Information

UMass Boston

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Vice Chancellor for Student Affairs Event Request Form