Request an Appearance

Appearance request for Chancellor Girod

Thank you for your interest in having Chancellor Girod attend your event. We ask that you fill out the following request form at least three weeks in advance.

Requests are evaluated on a weekly basis, so please allow up to seven days to receive a response from the Office of the Chancellor.

If you have questions regarding the process, please contact the Office of the Chancellor at 785-864-3131.

Name of event *

Date of event *

Month

Day

Year

Start time of event *

Hour

Minute

End time of event *

Hour

Minute

Location (building and room) *

Location 2 (street address, city, state, ZIP) *

Event description *

Event brochure, program or other related documents

Files must be less than 10 MB.
Allowed file types: gif jpg jpeg png txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml mp3 wav.

Appropriate attire *

Written invitations issued? *

Yes

Event expenses charged to: *

Name of event contact *

Email *

Phone number *

Link to requesting organization's homepage *

Are remarks requested? *

Yes

Length of remarks (including Q&A period if requested) *

Topic of remarks (main idea, theme, points you'd like the Chancellor to discuss) *

Who introduces the Chancellor? *

Estimated attendance: *

Dignitaries or high-profile alumni in audience: *

Press/media expected? *

Yes

Audio/visual equipment: *

Is there a podium, microphone (fixed or handheld), laptop, ability to play video or use PowerPoint, etc.

Special Notes

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Request an Appearance

Appearance request for Chancellor Girod