Speech Request Form

This form has been designed to help coordinate speeches and appearances by the Provost. We ask that speech requests be submitted AT LEAST 2 WEEKS (if possible) before your event. Submit this form online.

Name of Event (Required)

Date/Time of Event (Required)

/ /

Location (Required)

Main Contact

Name (Required)

Phone Number (Required)

(xxx) xxx-xxxx

Email Address (Required)

Back-up Contact

Name

Phone Number

(xxx) xxx-xxxx

Email Address

Description of Event

Sponsoring Department/School/Organization

Are remarks requested?

Yes
No

Type of speech

Welcoming remarks (3-5 min.)
Introductory remarks (5-10 min.)
Brief address (10-15 min.)
Major address (30+ min.)

PowerPoint presentation?

Yes
No

Goal/What do they want to hear?

Equipment

Lapel Microphone

Microphone

Lectern (preferred)

Projection

Computer

Will there be other speakers?

Yes
No

In what order?

Attendance Estimate

Former Students or Donors in audience?

Yes
No

Were invitations sent?

Yes
No

By whom?

Provost's expenses (if any) to be charged to

If you have questions, please contact Nancy Sawtelle, director of public relations, Office of the Provost and Executive Vice President for Academics, at n-sawtelle@tamu.edu.