Dean of Students Appearance Request

Thank you for requesting the participation of the dean at your event. This form is used to coordinate the dean’s schedule and remarks, and it should be completed at the time a request is made. PLEASE NOTE: If you are scheduling a private or small group meeting with the dean, you do not need to use this form.

Questions about this form can be directed to Christi Kampen, administrative assistant to the dean, ckampen@iastate.edu or 515-294-1022.

Requester's Information

Requester's name*

Requester's phone number*

Requester's email*

Requester's department/organization/business*

Brief description of department/organization/business*

Event Information

Event name*

Event type*

Date of event*

Event start time *

Event end time*

Dean's arrival time*

Dean's departure time*

Event location address*

Event parking*

Appropriate attire*

Any relevant event details including what role you would like the Dean to take at your event*

Host*

Host's phone*

On-site contact*

Mobile phone*

Remarks

Are remarks requested?*

Yes

Panel discussion

How long would you like the Dean to speak?*

Provide any details you would like highlighted in the remarks*

Who will introduce the Dean?*

Audio/visual available?*

Audience

Estimated attendance*

Dignitaries in the audience who should be acknowledged*

ISU alumni in audience*

Press/media/photographers expected?*

Yes

Upload any relevant files

One file only.
10 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

When do you need a response regarding the Dean's availability?*

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