Speaking Request Form

Florida Memorial University > About FMU > Administration > Office of the President > Speaking Request Form

Complete and submit the form below to extend an invitation to the President for an event or speaking engagement. Requests must be submitted at least 4 weeks in advance. You will be contacted upon review of the President’s schedule. Please contact us with any changes or updates prior to the event.

NOTE: Though dates are held, the president’s participation is not confirmed until the Executive Assistant or Office of Public Affairs emails you confirmation.

President’s Speaking Request Form
Questions marked by * are required.
Event Title: *
Event Date (mm/dd/yyyy): *
Start Time: *
End Time: *
Event Description: *
Location: *
Is this an on-campus event?: *

  • Yes
  • No
Contact Person: *
Sponsoring Organization:
Contact Phone: *
Email: *
Role of the President: *
Suggested Arrival Time of the President: *
Is this request for the President to speak or make remarks?:

  • Yes
  • No
If yes, what type of remarks are requested?:

  • Welcome (3-5 min)
  • Brief Remarks (5-10 min)
  • Speech (15-25 min)
  • Keynote Address (30-40 min)
Speech Topic/Talking Points:
Event Attire:

  • Casual
  • Business
  • Formal/Black Tie
Estimated Number of Attendees: *
If the President is not available, will a university representative be permitted?: *

  • Yes
  • No
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