| Office of the President

Thank you for your interest in having the president appear at your event. This form is used to request appearances and speeches for the President of Purdue University. Please submit the form online at least eight weeks prior to the event. All requests will be considered and responded to in a timely manner. Online submission of this form is REQUIRED for all requests. If you have questions about the form, please e-mail us.

Name of event *

Sponsoring organization *

Contact person *

Contact email *

Website

Office phone *

Cell phone *

Contact fax

Due to the president's schedule, not all requests can be accepted. If the president is not able to attend your event, would you like to have your request submitted to the Purdue Speaker's Bureau for an alternate suggestion?

Yes

Event start date and time *

Event end date and time *

If the date requested cannot be met, please suggest alternative dates

Description of event *

Why do you want the president to attend? *

Would you like the president's spouse to attend? *

Yes

Optional

Please attach a PDF of your program or event invitation

Expenses of event charged to

Expected attendance *

Attire *

Event location *

Location of event parking

Host(s) *

Host(s) mobile phone *

Would you like the president to make remarks? *

Request Presidential Appearance