Dean's Speech Request Form

This form has been designed to help coordinate speeches and appearances for Dean Arvind Raman.

If you have questions regarding the form, please contact Lisa Turner at 494-5346 or lmturner@purdue.edu . 

Please submit all requests no later than 6 weeks prior to the date of the event.

Please complete all fields in request.  You should receive a thank you response once the form is submitted.

We will be in touch with you to let you know if the request has been approved.

1. Name of Person Requesting the Dean's Presence
2. Title and Institutional Unit/Affiliation of Person Requesting the Dean's Presence
3. What is the goal of the event?
4. Please provide all four items: start time, end time, date of event, location of event.
5. Which other campus leaders/visiting delegation leaders are you asking to speak the event? Who and what is the speaking order? Note: A program outline will be requested one week from the event date.
6. Please explain how the Dean's presence is essential to the success of the event and expected outcomes.
7. If the Dean cannot attend, which delegate(s) would you ask to represent the Dean?
8. Please check a description of the remarks below:


9. What is the topic for the remarks requested?
10. Check if the following will be provided (if known):
Stage
Yes
No
Lectern
Yes
No
Microphone
Yes
No
Lavalier (if speech length is longer than 5 minutes, lavalier is preferred)
Yes
No
11. Estimate of total attendance and audience composition expected. (Alumni, students, industry partners, domestic vs international, dignitaries, media, etc.). An RSVP list will be requested one week from the event date. Please include attendee titles.
12. Contact Person (may or may not be same person as requestor)
13. Contact Person Office Phone
14. Contact Person E-Mail Address
15. Contact Person Cell Phone
16. Additional Comments