To initiate scheduling an event for Provost Quirk, please complete all relevant fields and click on "Submit" to email this form to Kelly Clerf, in the provost's office. An asterisk denotes fields where a response is required.
1. Person submitting this request:
*Name:
*E-mail address:
2. *Name of Event:
3. *Contact Person (name and phone, email address):
Name & Phone:
E-mail address:
4. *Date(s):
5. *Beginning and ending times:
6. *Location (if off campus, please give address and, if necessary, driving directions):
7. *This event is tentative
confirmed .
8. What arrangements have been made for transportation?
9. What equipment is needed and who is making these arrangements?
10. Attire:
11. Cost to CWU:
12. Funding source:
12a. If costs are expected to be paid by the provost's office, please provide a detailed budget:
13. Will Provost Quirk be asked to speak?
No.
Yes, Brief informal remarks.
Yes,Extended informal remarks.
Yes, Formal Speech.
14. If yes, describe length and suggested topic:
15. Will there be an open question-and-answer session before the group?
16. If thank-you notes are appropriate, who will send them?
17. Should publicity be arranged for this event, and who will do so?
18. Please give a brief history of this event and a list of attendees with any relevant history.
Please review the information on your form.
To email the form to the provost's office and view a copy of your request, click on "Submit" below.
To erase all fields and start over, click on "Reset."
