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* MM slash DD slash YYYY Event Type*In-Person (90 days lead time required)Virtual (30 days lead time required)For virtual events, 30 days lead time is needed. For in-person events, 90 days lead time is needed.If virtual, what platform will be used?* Zoom GoToMeeting WebEX If virtual, will a tech check be required?* Yes No If tech check is required, please enter the name and contact information for the technical contact. If In-Person, please provide event location details 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 in Central Time* : Hours Minutes AM PM AM/PM Please make sure the time you provide is in Central TimeEvent End Time in Central Time* : Hours Minutes AM PM AM/PM Please make sure the time you provide is in Central TimeEvent Point of Contact*NameTitleDepartment NameAgency NameEmail AddressMobile NumberOffice Number Event Time Zone* Eastern Time Zone Central Time Zone Mountain Time Zone Pacific Time zone Alaska Standard Time Hawaii-Aleutian Standard Time 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 in Central Time* : Hours Minutes AM PM AM/PM Please make sure the time you provide is in Central TimePreferred 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 UploadMax. file size: 256 MB.Invitation UploadMax. file size: 256 MB.OUTREACHName 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.CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.