Request the chancellor's participation at an event
Event start time:
Event end time:
Contact's name and title:
Contact's email address:
Contact's phone number:
Event location (include address if off-campus):
Event audience composition (students, staff, faculty, executives, community, donors, family members, etc. -- please be as specific as possible):
Expected attendance numbers:
Chancellor's expected role (check all that apply):
If role is "other" please describe:
Is the chancellor's spouse invited or expected to attend?
What is the exptected attire for the event?
If attire is "other" please describe"
If the chancellor is expected to speak, please provide the name and title of the person introducing the chancellor.
If the chancellor is expected to speak, please provide talking points at least one (1) week prior to the event. If necessary, send additional documents to firstname.lastname@example.org.
Please type the characters below:
For a record of your request, print this page before submitting.
Office of the Chancellor
3rd floor Signers' Hall P.O. Box 757500 University of Alaska Fairbanks Fairbanks, AK 99775
Phone: 907-474-7112 Fax: 907-474-6725 E-mail: email@example.com