Contact the Office of the President | Office of the President

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Email*
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Email
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Phone
(860) 486-2337

Address
Office of the President
352 Mansfield Road, Unit 1048
Storrs, CT 06269-1048

Event Request

Thank you for expressing interest in having Dr. Radenka Maric attend your upcoming event. To ensure that the Office of the President can effectively review the President’s calendar in regards to your event, please provide as much information about your event as possible below. It is understood that the information provided below may change. Please submit this form at least four weeks prior to the event. It is required that the form is completed and submitted electronically before our office can begin reviewing your request.

PLEASE NOTE: Dr. Radenka Maric is interested in attending as many requested events as possible. However, due to scheduling conflicts, the President may not be able to attend the event that is being requested.

If you have questions about this form, please contact Maryann Markowski (maryann.markowski@uconn.edu).

CONTACT INFORMATION
Name:
Prefix First Last
Email*
Office/Department/Organization:
Phone Number:
Mobile Phone Number:
EVENT INFORMATION
Event Name:
Event Date:
MM slash DD slash YYYY
Event Start Time

: Hours

Minutes

AM/PM
Event End Time

: Hours

Minutes

AM/PM
Anticipated Time Commitment:
Please identify how long the President should be in attendance.
Audience:
Please describe the audience (indicate all that apply)
- Donors and Friends
- UConn Alumni
- Elected Officials
- Community Members
- Faculty
- Staff
- Students
- Retirees
Event Location:
Indoor/Outdoor
Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Are you a UConn employee?
- Yes
- No
Is your department head, director, dean, or supervisor aware of this request?
- Yes
- No
Did you also invite the Provost to attend/speak?
- Yes
- No
Has the President previously attended?
- Yes
- No
WHEN FILLING OUT THE FOLOWING INFORMATION, PLEASE BE PRECISE. INCLUDE STATISTICS, HISTORY, PAST/FUTURE EVENTS, ETC., WHEN APPROPRIATE. ATTACH ADDITIONAL PAGES AND DOCUMENTS AS NECESSARY.
Purpose of the event:
Program agenda description:
Program Agenda
Optional upload of program agenda as a pdf
Accepted file types: pdf, Max. file size: 5 MB.
Please describe the nature of the President’s role:
- No remarks necessary
- Welcoming remarks
- Short remarks
- Speech
- Keynote address
- Panel discussion
If the president is able to attend, you should be prepared to provide the following (draft remarks/data, audience takeaways).
Examples of remarks:
If the President will deliver remarks, state the nature of their remarks.
Issues/subject matter that the President’s remarks should focus on:
Please include as much relevant information as possible.
The President’s remarks should seek to accomplish the following:
Length of time the President should plan on speaking:
Emcee for this event:
Name and title of person who will introduce the President:
Prefix First Last Suffix
Is the President being asked to introduce someone?
- Yes
- No
Name and title of the person whom the President is being asked to introduce:
Prefix First Last Suffix
List of other speakers participating:
Person(s) in the audience that the President should acknowledge:
Should the President stay for the entire duration?
- Yes
- No
If the President is not able to attend, would you like to have a delegate attend instead?
Delegate’s attendance is pursuant to their availability.
- Yes
- No
Dress/attire:
- Business
- Casual
- Formal/Black Tie
Will a meal be provided?
- Yes
- No
All media inquiries and requests should be handled through University Communications. Has this been done already?
- Yes
- No
- N/A, no media will be present at the event
Will the event be recorded?
- Yes
- No
How will the recording be made available to others and, if so, how will it be shared?
If you have any additional attachments please include them here:
Allowed file types: doc, docx, jpg, png, pdf
Drop files here or

Accepted file types: doc, docx, jpg, png, pdf, Max. file size: 5 MB.
PLEASE NOTE: Do not include the President's name in printed materials for events. Due to the nature of the President's schedule, availability is subject to change.
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Comments
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Video Request

Thank you for expressing interest in having Dr. Radenka Maric record a video for your department, program or group. To ensure that the video recording is accurate and completed in a timely fashion, please provide as much information about your requested recording as soon as possible below. It is understood that the information provided below may change prior to the recording. Please submit this form at least four weeks prior to when the recording is needed. It is required that the form is completed and submitted electronically before our office can begin reviewing your request.

PLEASE NOTE: Dr. Radenka Maric is interested in recording as many requested videos as possible. However, due to scheduling and time constraints, the President may not be able to record the video that is being requested.

If you have questions about this form, please contact Maryann Markowski (maryann.markowski@uconn.edu).

Name:
Prefix First Last Suffix
Email:*
Office/Department/Organization:
Recording Information
Event/project title the recording will be a part of:
Will this recording be a part of a larger event/program?
- Yes
- No
Please upload a copy of the event/program agenda here:
Max. file size: 5 MB.
Please also indicate who else will be speaking/submitting videos for this event/program:
Recording requested by date:
MM slash DD slash YYYY
Desired length of recording:
Has the President previously recorded a video for you/your event?
- Yes
- No
Why would you like the President to record this video?
WHEN FILLING OUT THE FOLOWING INFORMATION, PLEASE BE PRECISE.
Purpose of the recording:
Please describe the nature of the President’s role:
- Welcoming remarks
- Short remarks
- Speech
Dress/attire:
- Business
- Business casual
- Casual
Will you be providing a script for the President to use?
- Yes
- No
Script upload
Accepted file types: pdf, Max. file size: 5 MB.
Please attach the script to this form for review
Issues/subject matter that the President’s remarks should focus on:
please include as much relevant information as possible
The President’s remarks should seek to accomplish the following:
Is there a specific location on campus where you would like the video recorded?
What is the intended use of the recording?
Select all that apply
- Website
- Social Media
- Used at an Event
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Phone
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Presidential Signature Request

Please complete the following form when seeking a signature from the University President. This form is intended to be completed by a senior leader (i.e. Dean, Director, AVP, Vice President, etc.).

Name(Required)

Prefix First Last Suffix

Email(Required)

Signature Requirement(Required)

Is a signature from the University’s President required on the document for which you are seeking a signature?

Yes

Signature Explanation(Required)

Please explain why the signature of the University President is being sought:

Request Explanation(Required)

Please clearly and concisely describe the contents of the document, including any promises or obligations contained therein.

By submitting this form, you are confirming that you have:

Personally reviewed the full contents of the document and understand the purpose and any obligations contained therein.
It is your recommendation in your professional capacity that the University President sign the document.

Files

Drop files here or

Accepted file types: doc, docx, pdf, Max. file size: 20 MB, Max. files: 5.

Please ensure that all signatories have made their signatures on the attached document before submitting this form. Incomplete documents will be sent back for editing.

If your document requires a wet signature and/or you would like to provide a physical copy of the document to be signed after submission, please call 860-486-2337 to schedule an appointment to drop off the form.

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Name

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Event Request

Video Request

Recording Information

Presidential Signature Request