Requester Information
First Name:
*
Last Name:
*
Title:
*
Company Name and/or Hosting Department:
*
Office phone:
*
Cell phone:
*
E-mail address :
*
Please upload an event brochure or information that would help the President prepare for this event:
Event Information
Name of the event:
*
Purpose of the event:
*
Location of Event:
*
Date of event:
*
Event start time:
*
Event end time:
*
Provost's role during event:
*
Guest (non-speaking)
Host (non-speaking)
Keynote speaker
Welcome remarks
May the Provost bring a guest:
*
No
Yes
If the Provost is unable to attend, will you accept an alternate?:
*
No
Yes
Attendee Information
Estimated Number of Attendees:
*
Will there be VIP's in attendance?:
*
None
To be determined
See names below
Names and affiliations of VIP's who will be in attendance:
*
Audience Composition:
*
Business and Community Leaders
Molloy Administrators
Molloy Alumni
Molloy Faculty
Molloy Retirees
Molloy Staff
Molloy Students
Molloy Trustees
VIP's
Other
Other, Please explain:
*
Additional Details
Will you need the Provost's biography for this event?:
*
No
Yes
If yes, please include word count limit:
*
Will you need the Provost's photo for the event?:
*
No
Yes
Will the press be in attendance?:
*
No
Yes
Will the event be televised/livestreamed?:
*
No
Yes
Will photos be taken of the Provost?:
*
No
Yes
Speaking Role Details
Topics to be covered:
*
Speech Length (minutes):
*
Will there be a Q&A session?:
*
No
Yes
Who will introduce the Provost?:
*
Will there be other speakers?:
*
No
Yes
Names and titles of other speakers:
*
If this is a virtual event, will the Provost's remarks be delivered live or pre-recorded?:
*
Live
Pre-Recorded
Not virtual
If pre-recorded, please provide a due date for the remarks:
Will the event be videotaped/recorded?:
*
No
Yes
Please provide additional details:
*