Pinellas County Urban League President and CEO
Nikki Gaskin Capehart
Event Invitation & Speaking Request
Thank you for inviting the President & CEO to attend and speak during your event. Please help us to plan properly by answering the following questions. All fields require a response. We are requesting that you complete this form at least two (2) weeks prior to your event for ample scheduling consideration. If you have any questions please email kvazquez@pcul.org.
Event Name/Title
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Event Mission or Purpose
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Is the event in-person, virtual or hybrid?
Event Date
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Event Start Time
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AM/PM Option
Estimated End Time
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Arrival time for CEO
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Departure time for CEO
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Dress Code
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Please Select
Business Formal
Business Professional
Business Casual
Casual
Location Building Name
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Location Address
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Is staff welcomed to attend?
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Parking Details-is there a reserved space?
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Greeter's Name
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Seating Arrangements
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President's Speaking Role
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Panelists, Presenter or Greetings?
Number of Attendees
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Please Select
1 - 25
25 - 50
50 - 100
100 - 200
200 - 500
500 - 1000
More than 1000
Will there be questions from Audience
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Yes
No
General Audience Demographics
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Other Invited Speakers
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Moderator(s) or Emcee(s)
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Will the event by live streamed
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Event Contact
Name
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First Name
Last Name
Phone Number
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Area Code
Phone Number
Email
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example@example.com
RSVP Deadline
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Month
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Day
Year
Date
Event Photographer Contact info
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Any additional information
Name of person submitting this form
First Name
Last Name
Event Attachments
Browse Files
Attach any documents pertaining to your request i.e event flyer, event timeline, talking points, etc.
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of
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