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Invite the VP Request Form
Invite the VP Request Form
Requestor Contact Information
First Name
Last Name
Organization
Please select...
University of Utah
Other
Choice C
Name of Specific Department or College
Approved by reporting VP, Dean or Director
Reporting VP/Dean/Director's email address
If other, please specify
Office Phone Number
Mobile Phone Number
Email Address
Scheduling Information
Type of Scheduling Request
Please select...
Event
Speech
Appearance
Meeting
Video message
Other
If other, please specify
Please describe the request, including the title and nature of the event, meeting, or other activity.
Is A/V available?
Yes
No
Has the VPSA attended this event in the past?
Yes
No
Date of the Event
Start Time
AM/PM
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AM
PM
End Time
AM/PM
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AM
PM
Location & Address
City
State
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Alabama
Alaska
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District Of Columbia
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Ohio
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Pennsylvania
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South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Zip/Postal
Detailed Information
Day of Event Contact Name
Day of Event Contact Mobile Phone Number
General purpose of the event, theme, and/or ideas you would like included in the remarks.
What are the parking arrangements/instructions for the VPSA?
Event Details
Critical range of time needed
VPSA's role
Please select...
Host
Speaker
Guest of Honor
Guest
Other
If other, please specify
Event format
Please select...
Pre-recorded video
Podcast
In-person
Virtual
Type of remarks (if any)
Please select...
Welcome
Introduction
Remarks
Other
If other, please specify
Approximate length of remarks
Audience (select all that apply)
Faculty
Donors
Students
Trustees
Staff
Community
Alumni
Other
If other, please specify
Attire for Event
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Last Updated: 3/17/23
