CLARION UNIVERSITY OF PENNSYLVANIA

Request for President's Attendance or Participation

To assist us in responding to your request for the President's attendance at or participation in your event,  please complete the following:

Contact Person
Phone
Fax		  
Event/Function
Name of Sponsoring Department or Group
Date of Function
Time (beginning)
Time (ending)
Location   
Room Number or Address
Persons Attending (names of groups, specific names/titles if available)  
Number Expected
Role President is Expected to Play (check one) 

 

Attendance Only    Participation

 

If "Participation" is checked, please briefly describe the nature of the role the President is expected to play (e.g., provide a welcome, provide an introduction, serve as keynote speaker, present awards or certificates, etc.)

Agenda/Program (briefly describe program, including any theme or other special information)

Note:  Please forward to the President's Office, any materials that would be useful in responding to your request (e.g., background information, bios, printed agendas or programs). Mail or Fax materials to:

Office of the President
Clarion University of Pennsylvania
Clarion, PA  16214
814-393-2220 (phone)  
814-393-1801 (fax)