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Request for Chancellor Milliken to Speak

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If Chancellor Milliken is able to participate, we respectfully request that you be available to provide us with assistance along the way.  This may include additional information about the topics, audience lists, order of program and more.

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Requestor Information

Name of Host Organization

Contact Name

Phone Number

Email Address

Is requesting organization a unit or department within a UT institution? - Select -NoYes

Name and title of person who authorized request

Event Information

Date

Date: Month MonthJanFebMarAprMayJunJulAugSepOctNovDec

Date: Day Day12345678910111213141516171819202122232425262728293031

Date: Year Year2019202020212022

What is the date of the speaking event?

Time

Length of time for remarks Minutes

Estimated number of participants People

Location

Brief Description/Purpose of Event

Brief Description of Audience

Topic/Key Message

Identify Type of Remarks

Submit