Please fill in the information to your best ability. We highly encourage that requests are submitted at least 6 weeks in advance. If you’d like to request Mary Whittaker to speak or attend your event, please fill out this form instead. If you have initial questions, please contact 407-823-1955. Contact InformationContact person* First Last Email* Phone*Event InformationDate of event* Event start time* : HH MM AM PM Event end time* : HH MM AM PM Name of event*Event description*Please provide event details and describe how the president's role will enhance it.Select the President's role at the event*SpeakerPanel DiscussionEvent AttendeeIf you selected "Speaker", please select a speaking role: Brief/welcome remarks (less than 5 minutes) Moderate speaking role (5-10 minutes) Major speaking role/keynote (more than 10 minutes) If you selected "Panel Discussion", please list topic:President Whittaker’s schedule may not allow him to attend the full event. If possible, we will try to accommodate for the specific timeframe needed. Please include an estimated start and end time for the requested role:*Sponsoring organization*Event location* Building Name and Room # Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Audience InformationEstimated number of attendeesWho will be in the audience? Please check all that apply.* Dignitaries UCF Faculty UCF Staff UCF Students UCF Alumni UCF Trustees Press/Media Community Other Please specify:Additional InformationIf you would like Mary Whittaker to attend, please describe her role belowContact person at event location* First Last Phone for on-site contact*Parking information*Please provide reserved parking instructions.Attire Business Professional Business Casual Casual Formal Any other important details?PhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.