Vice President for Student Affairs Appearance/Speaker Request Form

Thank you for your interest in inviting Dr. Catching to speak at your upcoming event. Please complete the form below at least four weeks in advance of your event. Your request will be considered and responded to in a timely manner.

If you should have any questions or suggestions regarding the process, please write to vpsa@stockton.edu.

*required

Dr. Christopher Catching

Dr. Christopher Catching
Vice President for Student Affairs

Requestor Name and Title*

Department/Office*

Phone Number*

Email*Confirmation of this form's submission will be sent to this email address.

Sponsoring Organization/Office*

Event Title*

Event Contact Person/Title/Phone (if other than requestor)

Date of Event*

Start Time*

End Time

Event Location/Address*

Event Description*

Bullet Points for Remarks*Provide 4-6 key bullet points for remarks. Please balance brevity with thoroughness.

Type of Presentation

Panel Discussion

PowerPoint Presentation Required

Short Remarks (5-10 minutes)

Welcoming Remarks (3-5 minutes)

Other

If other, please describe

If applicable, insert electronic event invitation and/or agenda link here.