Provost Attendance Form

Thank you for your interest in having Provost Alexander attend your event. He is pleased to speak, attend, or present at events that support the mission of the University of North Alabama and its campus. The Office of the Provost works diligently to honor all requests, but we ask for your understanding that there may be calendar conflicts that prevent the Provost from attending. Please complete and submit this form a minimum of three weeks in advance of your event to allow enough time for review and consideration. Please call 256-765-4258 if any questions arise.

- indicates required field

Name

Email

Phone Number

Name of Event

Location of Event

Date

Start and End Time

Purpose of Event

Role of Provost

Attending

Speaking

Suggested remarks and length of remarks if provost is speaking

Will the wife of the provost be attending

Yes

No

Will anyone introduce the provost

Yes

No

Person that will introduce the provost if the provost will be introduced

Who will be the facilitator for the event

Level of formality

Sponsoring office or group

Contact person for additional information

Who will be attending

How many will be attending

Dignitaries in attendance

Other significant information about event or people

Will media be present

Yes

No

Send Please make sure all required fields have been filled out correctly.