Speaker Request: Vice Chancellor Westermann

First name: *

Last name: *

Email address: *

Phone: *

Affiliation/Organization *

Event name: *

Event purpose and event background: *

Event date: *

Event time: *

Event website:

If other, expand:

Participant information: Who is the audience? How many attendees? Are there any notable attendees? *

Suggested talking points/ themes (min 1 bullet per 10 minute request): *

Requested materials from Vice Chancellor Westermann, and due dates (e.g., bio/headshots, PowerPoint length or formatting). *

Press and media coverage: Will this event be recorded? Will this event be open to the press? Will closed captioning be available? *

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