Commissioner Speaker Request Form | Louisiana Board of Regents

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 LOGISTICS
Event Name/Host*
Event Date*
Date Format: MM slash DD slash YYYY
Event Location*
Street Address City State ZIP Code
Event Start Time*

: HH

MM
Event End Time*

: HH

MM
Event Point of Contact*
Name Title Department Name Agency Name Email Address Mobile Number Office 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?*
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*

: HH

MM
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
Invitation Upload
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.

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

Commissioner Speaking Request Form

BASIC LOGISTICS

CONTEXT

SPEECH DETAILS

ADDITIONAL DETAILS

OUTREACH