Presidential Appearance Request

Presidential Appearance Request Form

Would you like Hampton University's President to make an appearance or speak at an event? Please fill out the form below!
Note: Please be advised that this form is not a confirmation of availability.

For events that will occur within 6-8 weeks, please contact the President’s assistant (protocol@hamptonu.edu) regarding the President’s availability. Once availability has been confirmed, return to this webpage and complete the Presidential Appearance Request form.

Event Details

Please provide the details of your event below.
Title*
The title of your event.
Date & Time*

MonthDayYear
What date/time would you like the President to speak at your event?
Hour MinutesAM/PM Option
Location*

Street Address

Street Address Line 2

CityState

Zip Code

President's Role

What role would you like the President to take at this event?
President's Role*

GuestHost/Co-hostParticipant/Speaker
If the President will be speaking at this event, please provide the information below:
Run of the Show*
Provide the order of the event program.
Desired Length of Remarks*
Topics that Should be Covered*
Anyone in the audience who should be recognized by the President?*

YesNo
If yes, who?*
Dignitaries, groups, politicians, donors, board members, etc.

Contact Information

Please provide contact information for your organization's liaison.
Name*

First NameLast Name
Department*
The department of the individual listed above.
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Have you or your organization requested an appearance for the President before?*

YesNo
If yes, when?*

MonthDayYear
Please provide the date of the last requested appearance.
Should be Empty:

Presidential Appearance Request Form