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: 512 MB.

Invitation Upload

Max. file size: 512 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.

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Email

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

Commissioner Speaking Request Form

BASIC LOGISTICS

CONTEXT

SPEECH DETAILS

ADDITIONAL DETAILS

OUTREACH