Invite the Spencer Fox Eccles School of Medicine Dean

Name of the event ^*

Sponsoring organization or department ^*

Org/Dept Website

Org/Dept X Link

Org/Dept Instagram Link

Contact person (First and Last Name) ^*

Contact email ^*

Office phone ^*

Mobile phone ^*

Event start date and time ^*

Event end date and time ^*

Critical range of time needed with the dean ^*

If the date requested cannot be met, please suggest an alternative date.

In-person or virtual? ^*

Location of event parking and arrangements/instructions for the dean ^*

Description of the event ^*

Attire ^*

Why do you want the dean to attend? (If speaking, see additional questions below.) ^*

Has the dean attended this event before? ^*

Are there any VIPs or dignitaries in the audience? ^*

Are there notable University of Utah alumni in the audience? ^*

If yes, who?

Expected number of guests ^*

Is the press/media expected to attend? ^*

Email address

Would you like the dean to share remarks? ^*

Please briefly describe available equipment (e.g. podium, sound system, projector/screen, etc.)

Please include any additional notes or comments related to this appearance request.

Spencer Fox Eccles School of Medicine