Thank you for your interest in inviting Chancellor Cummings to your event. To ensure your request is received, this online form must be completed and submitted. The Chancellor attempts to fulfill as many requests as his calendar allows. If scheduling is a conflict and the topic could be well-addressed by another university leader, you may be referred to someone else. We ask you to complete and submit this form at least one month prior to event date. All fields are required and must be completed in order to submit. For questions, contact chancellor@uncp.edu or 910.775.4471. Contact Information Name Company/On-Campus Department Email Phone Event Information Name of Event Topic/Purpose Event Run of Show Event Location Event Date Start Time End Time Chancellor Arrival Time Chancellor Departure Time Anticipated number of guests Audience Description Students Faculty Staff Donors Community Members Alumni UNCP Boards (Trustees, Foundation, Alumni) Other… Enter other… Is there a special guest the Chancellor should be briefed on? Chancellor's Role Guest Speaker Presenting Awards Other… Enter other… Will the Chancellor be speaking? Yes No If he is speaking Type of remarks and duration Welcome (3-5 mins) Keynote (20-30 mins) Closing (3-5 mins) General (5-10 minutes) Other… Enter other description and duration... Main message the Chancellor's remarks should convey List other speakers Will there be a podium? Yes No Will there be a microphone? Yes No Will there be PowerPoint capabilities? Yes No Leave this field blank