Savannah State University's Hill Hall

Event Appearance Request Form

This form has been designed to help coordinate speeches and appearances by President Cheryl D. Dozier. Because of the President's many professional obligations, we recommend six weeks notice for consideration of the appearance request.

REQUESTOR'S INFORMATION
  Name:
  Address:
Address 2:
  City:
  State/Region/Province:
  Zip/Postal Code:
Country:
Office Phone:
() -
Cell Phone:
() -
Fax:
() -
  Email:

EVENT INFORMATION
  Title of Event:
  Event Description:
Event Sponsor:
  Attire:
Will Media Be Present?:
Will Event Be Recorded?:
Event Date:
Event Time:
  Event Location:
  Venue Type:

ATTENDEE/SPEAKER INFORMATION
  Audience and Participants:

(Describe the expected audience as well as other individuals and group that will be participating.)
  What is expected of the President?:

(Bring remarks: welcoming/opening (3-5 mins), brief/short remarks (5-10 mins), speech (15-25 mins), and keynote address (30-40 mins); meet and greet people; take pictures etc.)
  Suggested Talking Points:

(Please indicate any key themes or message, any persons or organizations that should be specially recognized)
 

Office of the President
P.O. Box 20449
Savannah, GA 31404
Hill Hall
ssupresident@savannahstate.edu
Fax: (912) 351-3588
If you have any questions, please do not hesitate to call our office at (912) 358-4000