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BSC President Appearance Request Form
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BSC President Appearance Request Form
Bismarck State College Interim President Dan Leingang greatly appreciates invitations to engage with members of the college community, communities across North Dakota, and organizations through participation in meetings and special events.
To submit an invitation for consideration, please complete this request form.
Since many such requests are received each week, please complete the online request form with at least one-month advance notice.
Please complete the following form to request an appearance by the BSC President for your event.
*
First Name
this field is required
*
Last Name
this field is required
*
Phone Number
(XXX-XXX-XXXX)
this field is required
*
Email Address
this field is required
*
Organization/Department Name
this field is required
*
Event Name
this field is required
*
Event Location
(Name and Address)
this field is required
*
Date of Speaking Engagement
(MM/DD/YYYY)
this field is required
*
Approximate Speaking Time
(HH:MM AM/PM)
this field is required
*
Event Description and Purpose
this field is required
*
Event Audience
(Who is attending and what is the size of the audience?)
this field is required
*
Type of Speech
You need to check this item to proceed.
WELCOME (A general welcome to the College and something specific to welcome the audience; 1-5 minutes)
REMARKS (Someone else provides a welcome and the BSC President provides remarks on a specific topic relevant to the audience; 3-10 minutes)
PRESENTATION (The BSC President provides a talk on a specific topic relevant to the audience; 10-30 minutes)
OTHER
If "other" please describe here
*
Length of Requested Speech
(in minutes)
this field is required
*
Suggested Talking Points or Important Information about the Event
(Used for speech writing)
this field is required
*
Will there be Q&A?
You need to check this item to proceed.
Yes
No
*
Suggested Arrival Time
(HH:MM AM/PM)
this field is required
*
Who should the BSC President report to upon arrival?
this field is required
*
Who will be introducing the BSC President during the event?
this field is required
*
Will the BSC President turn the program over to someone upon conclusion of the speech? If so, to whom?
this field is required
*
What is appropriate event attire for the BSC President?
You need to check this item to proceed.
Business
Business Casual
BSC Logo Attire
Are you requesting any of the following be provided to you prior to the event?
Bio
Photo
*
Event Website
this field is required
*
Event Social Media Links
this field is required
Please add any relevant information not noted above
After completing the request form, please email a link or PDF of the event program/agenda to
j
anell.i.campbell@bismarckstate.edu
.