Request a Speech or Appearance

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Request a Speech or Appearance by President Jo Ann Gora

The quickest way to make your request is to use the form below. However, you also may print a PDF version and return it via fax to 765-285-1461 or by mail to the Office of the President, Ball State University, 2000 W. University Ave., Muncie, IN 47306.

For best consideration, your form should be submitted at least 60 days prior to the event. If you have questions, contact Anita Kelsey at 765-285-8101.

Thank you for inquiring about President Gora’s availability for your event.

Items with an * indicate a required field.

Event Information
Name of Event: *
Sponsoring Organization
Description of Event: *

Event Date: *
Event Start Time: *
Event End Time: *
Expected Attendance:
Are any dignitaries expected to attend?	Yes No
If so, who?

Are any Ball State alumni expected to attend?	Yes No
If so, who?

City where event takes place: *
Address: *
Building:
Room number:

Event Details
Are remarks requested?	Yes No
If yes, what type of remarks?
Suggested topic(s) for remarks:

Will there be other speakers at event?	Yes No
If so, please list them in order of appearance:

Is a podium and microphone available?	Yes No
Is there PowerPoint capability?	Yes No
Are press/media expected to attend?	Yes No
Will written invitations be issued?	Yes No
If so, by whom?

Contact Information
Contact Person: *
Email *
Phone
Fax
Additional notes about event and/or audience: