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* Marked Fields are Required.
Name of Function:
Date of Function:
Function Start Time:
Function End Time:
Type of Function:
Type of Function (if other):
For breakfast, luncheon, or dinner requests, please list names of the people who will be seated at the Dean’s table:
(if off-campus, give exact address, telephone number of site, and parking information):
Purpose/Background of Event:
What time does the Dean need to be at this function?
How many people will be in attendance?
Who is the audience?
Are you requesting the Dean to speak at this function?
If yes, type of speech (please select one):
If "Other", please specify:
If "Introduction", please provide a bio of the person being introduced:
Time Dean will be speaking:
Length of Speech:
Specific subjects to be covered:
Please list other speakers, if any:
If the Dean is unavailable to attend, would you like the Vice Dean or another representative to take his place? (Please specify an alternative who may best meet your needs.) *
Additional Requests or Comments:
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