Presidential Schedule Request Form

* = required field

Some content may be updated based on selection

Presidential Schedule Request Form

If you are planning an event and would like to invite President Roellke, please take a moment to complete this form. His calendar fills quickly, so advance notice is recommended. Please allow at least a three-week timeframe for consideration of your request. The sooner a request can be submitted the greater likelihood the President will be able to attend.

President Roellke’s schedule may change at any time based on university business and responsibilities. If this occurs and it impacts your request, we apologize for any inconvenience and appreciate your understanding.

Any press releases, advertisement, invitations, programs, printed materials, etc. that use President Roellke’s name or indicate his attendance at an event must be reviewed and approved by the Office of the President before being distributed.

REQUESTOR CONTACT INFORMATION

Requestor Name (Title/First/Last Name)

Requestor Organization

Requestor Office Phone Number

Requestor Mobile Phone Number

Requestor Email

SCHEDULING INFORMATION

Type of Scheduling Request

Please describe the request, including the title and nature of the event, meeting or other activity.

Has a university president attended this event in the past?

Yes

Date Requesting

Start Time (e.g., 10:00 AM)

End Time (e.g., 10:00 AM)

Location & Address

Is this an on-campus event?

Yes

Has this event been approved and added to the University Calendar?

Campus Event Areas

DETAILED INFORMATION

Day of Event Contact Name

Day of Event Contact Mobile Phone

General purpose of the event, theme, and/or ideas you would like included in the remarks.

EVENT DETAILS

Critical range of time needed

President's role

Event format

Type of remarks (if any)

Group Composition (check all that apply)

Faculty

Staff

Donors

Community

Students

Alumni

Trustees

Other

High-Profile Attendees

Attire for Event

Please wait for files to finish uploading