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France Cordova

Request a Speech or Appearance

SPEECH/APPEARANCE REQUEST FORM

This form has been designed to help coordinate speeches and appearances by President France A. Córdova. Please submit the form online at least eight weeks prior to the event. Should you have questions concerning this material, please e-mail us.

Thank you for your cooperation.

• denotes a required field

Contact Information

Name of event •
Contact person •
E-mail •
Office phone •
Cell phone    
Fax    

Event Information

Description of event  
Day and Date of event •
Attire    
Time of day •
Place •
Hosts    
Phone    
Purpose for visit •
Please attach a PDF of your invitation. 
If the President is not available, would you accept a substitute guest?  Yes No

Speech Information

Are remarks requested? • Yes No
Welcoming remarks
       (3-5 minutes)
Short remarks
        (5-10 minutes)
Speech
       (15-20 minutes)
Major address
       (20 minutes +)
Topic of remarks:

Have you submitted a request within the past year?  Yes No
If so, for what event and when?
Will there be other speakers? • Yes No
If so, who and in what order will they speak?

Number of persons estimated to be in attendance:

Dignitaries in the audience: Yes No
If so, who?
 
Purdue alumni in the audience Yes No
If so, who?
 
Press/media expected to attend • Yes No
If so, which media groups will be represented?
   
Audio/Visual available
(e.g., podium, mic; please describe):
   
Special notes:
 
Written invitations issued? Yes No
By whom?
   
Expenses of event charged to:
   
   

If someone in the audience needs accommodations such as a sign language interpreter, please contact the president’s office at 49-49708 to make special arrangements.