KPU Executive Speaking Engagement Request

Event Details
For external events, please include directions, parking information and other relevant information.
Speaker Details

Please identify your preferred executive team member, along with second and third selections.

Agenda Details

Please provide an agenda and/or itinerary along with the following information:

One file only.
10 MB limit.
Allowed types: pdf, doc, docx.
(welcome, keynote, etc.)
If "Yes" please complete the following

If "Yes" please complete the following:

Who is the audience of this event? Please indicate all that apply.

The executive team are often booked in quick succession, so please be as exact as possible in answering what time the executive will be speaking/presenting and when will she he be done.

Please indicate any other speakers, honored guests, as well as whom the master of ceremonies will be at the event.

Additional Details
I.E. Projector, microphones, change of clothes etc? Please indicate.
Contact Details

Please include contact information about the event planner, or whoever the executive would need to contact with questions or concerns:

Please include your contact information if different from the above: