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Scheduling Request Form
Scheduling Request Form
ACA Representative(s) Requested to Attend:
*
Event Host Organization:
*
Event Name:
*
Event Description/Purpose of Attendance:
*
Date of Presentation:
*
*Final presentation materials due one week prior to event
Time of Presentation:
*
Event Point of Contact
Contact Name:
*
Contact Email:
*
Contact Mobile Number:
*
Event Location
Event Location Name:
*
Event Location Address:
*
Event Location Room Number:
*
Event Location Details
*Provide any additional details about the location
Event Type
Is this a speaking engagement?
*
Yes
No
Length of remarks:
*
Is a PowerPoint required?
*
Yes
No
Person responsible for providing presentation outline and suggested talking points:
*
Expected Event Attendance:
*
Less than 25
25 - 50
50 - 100
100 - 150
150 - 500
More than 500
Event open to press?
*
Yes
No
Event VIPs: (include elected officials)
*
Attire:
*
Casual
Business Casual
Business Formal
Semi-Formal
Formal
Black Tie
White Tie
Detailed event agenda:
*
Other necessary details/notes:
*
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