Commissioner Speaker Request Form Commissioner Speaking Request Form Thank you for your inquiry into Commissioner Reed's availability to speak at your event. Please complete and submit the request form below. We will contact you as soon as possible. BASIC LOGISTICSEvent Name/Host*Event Date* Date Format: MM slash DD slash YYYY Event Location* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Event Start Time* : HH MM AM PM Event End Time* : HH MM AM PM Event Point of Contact*NameTitleDepartment NameAgency NameEmail AddressMobile NumberOffice Number Who will greet the Commissioner when she arrives?*Introduction By*Please provide the name of the person introducing Commissioner Reed. Who will speak after the Commissioner and is she expected to introduce the next speaker?*CONTEXTAbout the Event*Please include event background information, a brief overview of the event, the number of guests attending, and the audience makeup (e.g. professors, students, etc.) How many people will be in attendance?*SPEECH DETAILSFormal Speaking Time* : HH MM AM PM Preferred Length of Speech*Type of Event Appearance*Keynote AddressRoundtablePanel DiscussionWelcomeBrief RemarksWill the Commissioner be speaking from a podium or seated?*PodiumSeatedOtherIf you selected "other" to the previous question, please explain.Topics of Interest*Questions & Answers*YesNoWill the speech be followed by a Q&A session?ADDITIONAL DETAILSAttire*Parking Details*Requests two reserved parking spots.How will the room be set-up?*Honorable Guests/Elected OfficialsPlease provide a list of names and titles of honorable guests and elected officials participating in, or attending the event.Agenda UploadInvitation UploadOUTREACHName of Media Contact First Last Mobile NumberEmail Address Media CoverageIs media coverage expected? Can the Board of Regents include this event in a media advisory? Event PromotionIs the event open to the public and/or media? How will you promote this event?Social Media HandlesPlease provide links to the Facebook and Twitter handles associated with your organization and/or event. Please also include suggested hashtags. Additional InformationPlease provide any additional details about your organization, event or speakers here.
