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Speaking Requests

Invite the Provost to your event

Thank you for requesting Provost & Vice-President (Academic) Andrew Hrymak to speak at your event. Please first contact Gayle Stuebing at (519) 661-3109 or email gstuebin@uwo.ca to determine if the Provost is available on the date of your event. Once the Provost's attendance at your event has been confirmed please complete and submit this form. If you have any questions about Provost Hrymak speaking at your event, please contact Malcolm Ruddock, Executive Assistant to the President and Provost, at (519) 661-3144 or email mruddock@uwo.ca.

* = required fields

Your Contact Information

Name: *
Job Title: *
Department: *
Phone Number: *
Email: *

Event Details

Name of Event: *
Primary Objective: *
Event Date: *
Event Venue: *
Speech Setting (ie: Stage, Podium and Microphone, Casual): *
Provost's Arrival Time: *
Proposed Agenda, including list AND ORDER of other speakers *
Audience Composition and Size *

Is this an annual event: *

Is this an alumni or donor relations event: *

Will there be government officials in attendance: *

If yes, please provide names and titles:

Speaking Requirements

Purpose of Speech *
Expected Length of Remarks or Speech *
Who will introduce the Provost (Name and title) *
Individuals to be acknowledged in speech: *
Key messages you would like the Provost to deliver: *

Logistics

Parking Arrangements: *
Dress Code *

Who will greet the Provost?

Name: *
Cellphone Number: *
Email:*

Background

Other important background information about event that should be mentioned: *