Chancellor Speaker Request Form
To request the Chancellor’s attendance or participation at an event, please dowload, complete and submit this form at least two weeks prior to the event. The form and any additional attachments may be submitted via email to Dede Kirkpatrick at firstname.lastname@example.org.
You will be notified of the Chancellor’s availability after all the requested information is submitted.
Please note that more information provided on this form helps determine the Chancellor’s ability to attend and/or participate in your event.