Presidential Appearance Request Form

Presidential Appearance Request Form

To submit your request for President Courtney Hunt to appear or speak at your event, please complete the form below. Please complete and submit this form at least 3 weeks in advance of your scheduled event. Thank you for your cooperation.
Contact Person

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Event Details
Sponsoring Committee
Name of Event*
Description of Event*
Date of Event*

MonthDayYear
Date
Event Start Time*

Hour Minutes

AM/PM Option
Event End Time*

Hour Minutes

AM/PM Option
President's Expected Attendance Start*
President's Expected End*
Event Type*

In PersonVirtual
Location of Event (if applicable)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Estimated Attendance
Recommended Event Attire
Please provide suggested attire. State specific apparel and color.
List VIPS Expected to Attend
Will there be other speakers?

YesNo
Remarks/Participation Requested*

Attendee OnlyWelcoming Remarks (3-5 minutes)Short Remarks (5-10 minutes)Speech (15-20 minutes)Major Address (20 minutes)Impromptu/Q&APanel Discussion ParticipantAward Presenter
Audience Composition*

Public EventMembers of Organization Only
Suggested topics or talking points for the President (please be as detailed and comprehensive as possible)
Please upload the event program or agenda

Cancelof
Biography Photo/Request

Short BiographyLong BiographyHi-Resolution Photo
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 us to suggest a designee to speak on her behalf?*

YesNo
Should be Empty:

Presidential Appearance Request Form

Event Details