Event Request for Mason Senior Leadership

Request Participant(s):*
- President Washington
- Provost Antony
- Vice President for University Life Rose Pascarell
- Other
Contact Information
Name of Requestor:*
First Last
Requesting Unit/Organization*
Contact Email:*
Contact Phone*
Event Information
Name of Event:*
Primary Event Date:*
MM slash DD slash YYYY
Requested Arrival Time:*

: Hours

Minutes

AM/PM
Location/Address:*
Parking Accommodations/Instructions:
On Arrival, Proceed to:
On-site Contact Information
Name/Title:
On-site Contact Email:
Office Phone:
Cell Phone number on the day of the event:
Logistics
VIPS in Attendance (Include Names and Titles):
Constituency Invited (please include list, if group is smaller than 20):
Number Expected to Attend:
Goals of Event Specific to Participant:
Background Information for Organization and/or Event:
Bio Information of Event Host(s):
Timeline for the event (Needed at time of submission. Event Program due to participant's office no later than 48 hours prior to event.)
Event Format:
Attire:
Participant's Requested Role
- Attendance
- Participation
- Remarks
If Remarks, Duration:
Suggested Talking Points, if Any:
Media
Are media outlets invited?
- Yes
- No
Once submitted please contact Alissa Karton, [email protected], if there are any changes or to follow-up on request.

Contact Information