Speaking Engagement Request

To assist the Dean in representing MSU–Great Falls in the best possible manner, please complete this form as a part of any invitation for the Dean to speak at or attend an event or meeting.

The Dean accepts the majority of invitations, however there are times when he must decline due to calendar conflicts. The Dean’s Office attempts to accommodate all requests, especially those that support the mission of the College. Your patience and understanding is greatly appreciated when working with the Dean’s calendar.

At least two days prior to the event, please submit a copy of the program/invite if there is one available.

Please fill out this form as completely as possible. If you have any questions, please don’t hesitate to contact Heather Palermo, Executive Assistant to the Dean, at 406.771.4305 or hpalermo@msugf.edu.

Information of Person making Request (* Required)

First Name: *
Last Name: *
Phone: *
E-Mail: *
Organization Name:
Department/Division/Committee:

Event Information

Event Name: *
Event Address: *
City: *
State: *
Zip: *
Room Name/Number:
Event Date: *	(ex: Tues. March 1, 2011)
Event Start Time: *
Event End Time: *
Dean’s participation/ involvement requested from: *	TO
Please note: The times requested for the Dean’s participation should be as exact as possible, as the Dean could be juggling multiple events. If the event schedule changes after submitting this request, it is the requesting person’s responsibility to contact Heather Palermo at 406.771.4305 or hpalermo@msugf.edu immediately so she may determine if the change can be accommodated.
Types of Remarks Requested: *	Welcome Speech Introduction Panel Other
	Please specify:
Person who will meet the Dean at the event: *
Event Details: * (please be very specific)
If the Dean is speaking, is there a topic or subject you would like him to address?:
Preferred length of comments:
Audience size and composition:
Other speakers at the event:
Key people to acknowledge (either to meet/greet or to acknowledge in remarks):
Additional Information: