College Signing Day Event Information/Speaker Request Form

College Signing Day Event Information/Speaker Request Form

Thank you for your interest in celebrating the students in your community with a special Signing Day Celebration!

Please complete the form below, and if you have any available supplementary documents — such as a draft agenda or an invitee list — please upload them in the "Supplementary Documents" section at the end of the form.

(Note: Due to the high number of scheduling inquiries received by our office, not all requests can be granted.)

Thank You

For your submission

Basic Information

Organization:

Event title:

Primary contact name: *

Primary contact title:

Primary contact phone:

Primary contact email: *

Event Information

Signing Day description:

Event date:

Event start time:

Event end time:

Address/location of event:

Registration/participation fee:

Yes

Amount of registration/participation fee (if applicable): $

Size of audience (students):

Size of audience (adults):

Event sponsor(s) (who is paying for this event):

Is this a fundraiser?

Yes

Description of audience (please be as specific as possible -- e.g., teachers, students, elected officials):

Reach Higher Designated Speaker's Role (Speaker)

Total running time for the Speaker's participation:

Start time for the Speaker's participation:

End time for the Speaker’s participation:

Preferred format (informal remarks, keynote, Q&A, attend only/no remarks, etc.):

Total time allotted for remarks:

Total time allotted for Q&A (if applicable):

Who will introduce the Speaker (name, title, organization):

Supplementary Documents

Document #1

Document #2

Document #3

*Required Field