Speaker Request Form - Office of the Provost & VP Academic

Thanks for inviting the Provost to speak at your upcoming event. Please tell us a bit more and we can confirm availability.

Name Name First Last
Email
Phone Phone - ### - ### ####
Social media handles
Department
Name of organization/group/faculty organizing the event.
Event name
Who is the event host? (e.g. Dean, Vice-President)
Event date Event date / MM / DD YYYY
Event start time Event start time : HH MM AM/PM
Event end time Event end time : HH MM AM/PM
Purpose of event
Is this event in-person, virtual or hybrid?

Is this event in-person, virtual or hybrid? In-person Virtual Hybrid
Event location, room or Zoom details
Provost's role
Type of remarks (e.g. Open, welcome)
Length of remarks
Please provide brief points to be included in remarks, if required.*
Have any other senior administrators confirmed attendance? If so, who?
If the Provost is not available, would you like to invite another senior administrator in their place?
If the Provost is not available in-person, would you like a video taped message? If yes, please indicate the date due by.
Length of time Provost is requested to stay and please include arrival time.
Will the event be recorded or broadcast?
How will the stage be set up? ((ie. Is there a podium, others seated on stage, wireless or handheld mics, etc.)
Is there a photographer?

Is there a photographer? Yes No
Is there a seating plan?
Dress code
Expected number and type of attendees. (e.g. staff, administrators, faculty members)
Will you be inviting other dignitaries, government officials or VIPs?
Is there a gift or award presentation?
Will the Provost's name be on the invitation or any other event materials? (If so, please request approvals from the Provost Office in advance from: provost@yorku.ca)
Please provide the preliminary agenda or roll-out of the event.

Attach Files