Wufoo

Event name *
Date * MM / DD / YYYY
Is the date flexible?

If alternate dates are possible, please list them.
Event start time * HH : MM : SS AM/PM
Event end time * HH : MM : SS AM/PM
Timeframe / duration of the president's attendance *

For example: 10-10:15 a.m.
Is the time flexible? *
Yes No
Provide other possible times
Location *

Please be specific (address, building, room, floor etc.)
Purpose of event *
How would the president's attendance contribute to the success of your event? *

What would his unique contribution be?
President's role: *
Guest Provide remarks Other

Note: "Guest" means the president has no formal role.
Type of remarks
Welcome/greeting Keynote/speech Other
Length of remarks
Does Mrs. Young have a role in the event? *
Yes No
If yes, what would her role be?
Are the regents being invited?
[Invite the Regents form] *
Yes No

Note: Checking "yes" here does not automatically send an invitation to the regents. You must fill out a separate form to invite the regents.
Is the provost also receiving an invitation?
[Invite the Provost form] *
Yes No

Note: Checking "yes" here does not automatically send an invitation to the provost. You must fill out a separate form to invite the provost.
Audience
Main message you want the audience to take away *
Specific type of audience *
Henry Suzzalo Society The President's Club Benefactors ($100K+) Laureates ($1M+) Presidential Laureates ($10M+) Regental Laureates ($100M+) The Dean's Club Regents Legislators Community Faculty / Staff Students Alumni Retirees
Number of guests invited *
Number of guests expected *
Brief description of audience *
Will there be other speakers? *
Yes No
Please list them: *

Briefly tell us who they are. For example, owner of XYZ Flowers
Will there be food? *
History of event *
Person who filled out this form
Who should we contact with questions about this request? * First Last
We recognize the person who fills out this form might not be the primary contact for this event. We ask for your contact information only in case there is an issue with the form itself. Otherwise we will work directly with the primary contact for the event.
Phone Number * ### - ### - ####
Email *
Primary Contact
Who is the primary contact for this event? * First Last
This contact information is required for all events.
What is your relation to the UW? *
Phone * ### - ### - ####
Department / Organization *
Email address *
Briefing Materials

UW event planners: This information will be due no later than 10 calendar days prior to the event. If the president accepts your invitation, you will be sent detailed instructions on submitting briefing materials.
Who is responsible for briefing materials? First Last
Required for UW events only. If the contact is the same as the primary contact, you may leave this blank.
Phone ### - ### - ####
Department / Organization
Email address
Speaking Points

UW event planners: This information will be due no later than 17 calendar days prior to the event. If the president accepts your invitation, you will be sent detailed instructions on submitting speaking points.
Who is responsible for speaking points? First Last
Required for UW events only. If the contact is the same as the primary contact, you may leave this blank.
Phone ### - ### - ####
Department / Organization
Email address
Do Not Fill This Out

Wufoo

Audience

Person who filled out this form

Primary Contact

Briefing Materials

Speaking Points