Commissioner Speaker Request Form – Louisiana Board of Regents

BASIC LOGISTICS

Event Name/Host*

Event Date*

Event Type*

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 State ZIP Code

Event Start Time in Central Time*

:

Please make sure the time you provide is in Central Time

Event End Time in Central Time*

:

Please make sure the time you provide is in Central Time

Event Point of Contact*

Name	Title	Department Name	Agency Name	Email Address	Mobile Number	Office 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?*

CONTEXT

About 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 DETAILS

Formal Speaking Time in Central Time*

:

Please make sure the time you provide is in Central Time

Preferred Length of Speech*

Type of Event Appearance*

Will the Commissioner be speaking from a podium or seated?*

If you selected "other" to the previous question, please explain.

Topics of Interest*

Questions & Answers*

Will the speech be followed by a Q&A session?

ADDITIONAL DETAILS

Attire*

Parking Details*

Requests two reserved parking spots.

How will the room be set-up?*

Honorable Guests/Elected Officials

Please provide a list of names and titles of honorable guests and elected officials participating in, or attending the event.

Agenda Upload

Max. file size: 256 MB.

Invitation Upload

Max. file size: 256 MB.

OUTREACH

Name of Media Contact

First Last

Mobile Number

Email Address

Media Coverage

Is media coverage expected? Can the Board of Regents include this event in a media advisory?

Event Promotion

Is the event open to the public and/or media? How will you promote this event?

Social Media Handles

Please provide links to the Facebook and Twitter handles associated with your organization and/or event. Please also include suggested hashtags.

Additional Information

Please provide any additional details about your organization, event or speakers here.

CAPTCHA

Name

This field is for validation purposes and should be left unchanged.

Commissioner Speaking Request Form

BASIC LOGISTICS

CONTEXT

SPEECH DETAILS

ADDITIONAL DETAILS

OUTREACH