Event Request for Mason Senior Leadership

Request Participant(s):*

Contact Information

Name of Requestor:*

First Last

Requesting Unit/Organization*

Contact Email:*

Contact Phone*

Name of Event:*

Primary Event Date:*

Requested Arrival Time:*

:

Location/Address:*

Parking Accommodations/Instructions:

On Arrival, Proceed to:

Name/Title:

On-site Contact Email:

Office Phone:

Cell Phone number on the day of the event:

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

If Remarks, Duration:

Suggested Talking Points, if Any:

Are media outlets invited?

Once submitted please contact Alissa Karton, akarton@gmu.edu, if there are any changes or to follow-up on request.