Vice President for Student Affairs Appearance/Speaker Request Form

Please complete this form with as much information as early as possible and submit no later than four (4) weeks prior to the event. Speaker requests are not considered final until the requestor completes the following form and the Office of the Vice President for Student Affairs approves.

Note: If out-of-town or overnight travel is required, contact the Assistant to the Vice President for Student Affairs at (609) 652-4228 to submit additional required information

Dr. William U. Latham

Dr. William U. Latham
Interim Vice President for Student Affairs

*All fields are required unless otherwise noted as optional.
REQUESTOR INFORMATION
EVENT INFORMATION
(200 words)
Provide 4-6 key bullet points for Vice President's remarks.
Key 1
Key 2
Key 3
Key 4
Key 5
Key 6
AUDIENCE INFORMATION

(indicate all that apply)
Alumni
Board of Trustees
Faculty
General Public
Legislators/Community Leaders
Parents/Families
Staff
Students
Other
PRESENTATION INFORMATION
Welcoming Remarks (3-5 minutes)
Short Remarks (5-10 minutes)
Speech (15-20 minutes)
Major Address (20+ minutes)
Panel Discussion
PowerPoint Presentation Required
No Remarks Necessary (only Vice President's attendance)

Will the Vice President be requested to introduce other speakers?

Is the Vice President's bio required?

Is the Vice President's photo required?

Key people to acknowledge in remarks?

Will there be other speakers?

Will there be dignitaries in the audience?

Planning on having students in the audience of the event?
(If yes, you are expected to secure student attendance)

Are the press/media expected to attend?

Are there notable Stockton alumni in the audience?

If the Vice President for Student Affairs is not able to attend your event, would you like to have us recommend an alternate speaker?

Contact the Office of the Vice President (609) 652-4225 with any updates or changes prior to the event.