If you would like for Chancellor Riley to attend or speak at an event you are hosting, please complete and submit the form below within two weeks of the event. Submission of the form does not guarantee Chancellor Riley’s attendance. A confirmation email will be sent from the Office of the Chancellor once the request has been reviewed and approved. If you have any questions, please contact the Office of the Chancellor at 479-788-7007. Event Name (required): * Location (required): * If virtual, please provide link to event: Date of Event (required): * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20192020202120222023 Start Time of Event (required): * Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm End Time of Event (required): * Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm Brief Description and purpose/theme of the Event (required): * Purpose of Chancellor Riley’s presence at the event: Attend only Speak Other Event other: When will Chancellor Riley be called to speak? Expected Remarks from the Chancellor Welcome remarks (2-3 minutes) Brief remarks (5-7 minutes) Introduction of Someone Keynote address (15 – 20 minutes) Panel Discussion No remarks expected Panel Discussion (List of panel members with titles) Introduction of Someone (Full name, bio of person to be introduced, and draft of what is to be included in intro) Any Key People that need to be acknowledged in Chancellor Riley’s remarks? Please provide bullet talking points you would like Dr. Riley to speak on Will there be a podium for Chancellor Riley’s remarks? Yes No Will there be a microphone for Chancellor Riley’s remarks? Yes No Estimated Number of Attendees: Description of Attendees Attire (required): * Business Casual Cocktail Attire Business Professional Formal Other Attire other: Will food be served? Yes No What type? Point of Contact information Contact Person for the event (required): * Cell phone number Email (required): * Name of requesting department or organization (required): * Additional information: Information upload Along with this form, please send a pdf of your agenda, program, talking points, invitation, or any other information that will be needed for this event. (Only PDF documents or PNG images accepted)Files must be less than 2 MB.Allowed file types: png pdf. If Chancellor Riley is unable to attend would you like for the Office of the Chancellor to suggest or assign another university administrator to attend? Yes No Alternate preferred administrator: Vice Chancellor Dean Name of preferred administrator: Leave this field blank CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. What code is in the image? * Enter the characters shown in the image.