Event Request Form Event Request Form Event Name * Location * Date * Start/End Time * Chancellor's Arrival/Departure Time * Event Host/Sponsor * Role of the Chancellor * No remarks necessaryWelcoming remarks (3-5 minutes)Short remarks (5-10 minutes)Speech (15-20 minutes)Major address (20+ minutes)Panel discussionOther Role of the Chancellor Special Instructions Event Objective * Number of Invitees * Primary Constituent Group * StudentsFacultyStaffCommunityOther Primary Constituent Group Submitted By * Name, Title & Office Submitter Email * Submitter Phone * This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Submit