Scheduling Request Form for President Smith


Date Submitted

Event Contact
Name
Department/Organization
Address
City
State	Zip Code
Contact Number
Email

Event Information
Event Description
Date/Time/Location
Speech Theme or Topic of interest, if applicable
Please provide any additional event details for consideration such as a description of audience/invited guests, dress attire, etc.
Submit this form to:		Ms. Theresa Graves Executive Assistant Office of the President P.O. Box 907 Langston, OK 73050 405.466.3202 405.466.3461 fax tdgraves@langston.edu