First Name Last Name Email Address Phone Number Primary Affiliation - Select -FSU FacultyFSU StaffFSU StudentFSU Direct Support OrganizationFSU AlumnusFSU ParentCommunity or Other Title Department or College or Unit FSU Direct Support Organization Alumni Foundation Boosters Real Estate Foundation Ringling Community or Other I would like to Request a meeting with the provost Request the provost record a video Request the provost’s attendance at an event Meeting Information Meeting Type In person Virtual Phone call Purpose/Topic Have you already met with your instructor/chair/immediate supervisor/dean about your concern(s)? Meetings are not typically scheduled with the Provost until/unless you have already discussed your concern(s) with your instructor/chair/immediate supervisor/dean. Yes No Desired date range Other attendees Additional Comments/Relevant Information Video Information Event Title Date Location Description of Video Script Contact Event Information Contact Person Event Title Date Start Time End Time Location Attire Description and Historical Background of event Estimated Number of Attendees VIPs attending FSU Donors Board of Trustees Members Board of Governors Members Elected Officials International Dignitaries Other Provost's role Attend only Photo Op Give remarks Give Remarks Brief remarks (2-5 mins) Short remarks (5-10 mins) Speech/Keynote address (15-20+ mins) Remarks Contact Key Talking Points Who will introduce the Provost? List other speakers and program order Additional Comments Is the media expected to attend this event and if so, has University Communications been contacted? Yes No Submit Leave this field blank
