University Provost Event Appearance Request

Thank you for your interest in having Embry-Riddle Provost, Dr. Kelly M. Austin, participate at your event. It is with great honor that Dr. Austin represents the University on as many occasions as his schedule allows. To help us streamline the process, please initiate the request for an event appearance or speaking engagement by submitting the form below.

Requests should be made well in advance of your event to ensure the best chance of securing a date on the Provost’s calendar. Due to the complex nature of the Provost’s calendar, not all requests can be honored.

While some details may not be initially available, it is recommended that you submit the form with sufficient information related to the event and about your organization. All requests are carefully reviewed with Dr. Austin; therefore, the Provost’s participation remains unconfirmed until the required briefing materials are received and the Office of the Senior Vice President for Academic Affairs and Provost communicates a formal confirmation. If your request is accepted, your event will be placed on the Provost’s calendar along with the details you provided on the request form.

Publications using the Provost's name, photo, or bio must be approved prior to printing or distributing - not excluding listing the Provost as a confirmed guest on invitations or programs. If you need the Provost's photo or bio for the event, please make a written request to the Office of the Senior Vice President for Academic Affairs and Provost. All requests from media must be coordinated through the University Communications Team, and any direct calls are forwarded accordingly.

If you have any questions, please contact the Office of the Senior Vice President for Academic Affairs and Provost 386-226-6216 or via email at provostoffice@erau.edu.

* All fields are required. Some parts within the form allow you to upload materials.

Event Title:*

Date:*

Event Start Time:*

Event End Time*

Provost's Required Arrival:*

Purpose of the event?*

Provide a brief summary of the event, include its history and its purpose (i.e. annual ceremony, monthly meeting, all-day conference; will there be other speakers, award presentations, etc.).

Event Location (venue, address – include campus, building, floor or room number, parking details):*

Provide directions to the event from Embry-Riddle, Daytona Campus, or from Henderson Welcome Center if the event is on campus, and preferably with a map illustrating directions.

Upload a Map (optional):

Upload a File

Is this a virtual event?*

YESNO

If this is a virtual event, please provide instructions for connecting.*

Who is greeting the Provost upon arrival and where will they meet?*

Upload Event Agenda or Program:*

Upload a File

Is the Provost's spouse invited to attend?*

YESNO

What is the Provost's role during the event?*

Guest / Attendance OnlyJudge / PanelistSpeaker / InterviewPresenter / Awards

If remarks are requested, what type?

Welcoming Remarks (2-3 min)Brief Remarks (3-5 min)Speech (10-15 min)

On what topic?*

Include 4 – 6 key points to emphasize during the speech (i.e. interests/concerns to address and acknowledgments of audience members; such as sponsors, dignitaries or officials, and etc.).

Who will introduce him? Will he introduce someone following him?*

What is the number of attendees?*

Who is the audience? Who will be your VIPs?*

What is the recommended attire?*

What are the seating arrangements?*

Describe if the President is part of a stage party, any special seating, head table, ticketing information, registration requirements, etc.

Will there be a photographer at the event?*

YESNO

Who will distribute the photos after the event?*

Will the event be recorded or broadcasted?*

YESNO

Is the media invited?*

YESNO

If the Provost is not available, will / did you request an alternative senior administrator?*

YESNO

Requested by (Name, Title):*

Department/Organization:*

Phone Number:*

Email Address:*

Mailing Address:*

City:*

State / Province:*

Postal / Zip Code:*

University Provost Event Appearance Request

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