Provost Appearance Request Form

1Contact Information

3Audience Information

This form has been provided to help coordinate appearances, speeches and other requests of the provost. Your request must be submitted online using the form below.

Please keep in mind that the provost’s schedule is very demanding and is subject to change at any time in the event of emergencies or important university business. If such situations affect the provost’s attendance at your event, a member of our staff will contact you, and when possible we will provide a representative, if you wish. In the event of agenda or timing changes, we ask that you contact our office immediately by emailing Juan.Lugo@ucf.edu.

You must submit your request four weeks in advance of your event. If you have questions concerning this information, please contact our office by emailing Juan.Lugo@ucf.edu. Thank you for your cooperation.

Requester Information

Name*

First Last

Title*

Contact Email*

Contact Phone*

Contact Mobile Phone*

Is this a UCF Event?*

Yes

Select UCF Division/College/Unit*

Department Name*

Event Information

Name of Event*

Host Organization*

Date of Event*

Event Start Time*

Event End Time*

Requested Provost Arrival Time*

Event Location Building*

Event Location Room*

Event Location Physical Address*

Is this Event Occurring on the UCF Main Campus?*

Yes

Please Include Parking Details for the Provost (Reserved Parking, etc.)*

Event Overview and Description*

Event Agenda and/or Run of Show*

Detailed agenda/run of show

Attachment(s): Event Agenda, Run of Show, Logistical Information

Drop files here or

Max. file size: 5 MB.

Please include all relevant attachments associated with your event.

Minimum Requested Duration of Provost's Attendance*

Timeframe that Provost is requested to be in attendance (start and end time).

Provost’s Role*