Student Government Speaker Request Form

Name of Organization:*
Contact Person:*
First Last
Phone Number:*
Email Address:*
My Organization is:*
- On Campus (TAMU main campus)
- Off Campus - B/CS
- Off Campus - Out of town
Event Information
Event for which speaker is requested:*
Meeting Facility & Room#:*
Address:*
Street Address Address Line 2 City State ZIP Code
Where should the speaker park?:*
Date requested:*
Time requested:*

: HH

MM
Alternate date requested:*
Alternate time requested:*

: HH

MM
Presentation Information
What topic(s) do you want the SGA speaker to address?:*
Approximately how long into the meeting will speaker be expected to make presentation:*
Preferred length of presentation:*
Q&A Included:*
- Yes
- No
Accommodation Information
Will overnight accommodations be provided if needed?:*
- Yes
- No
If the answer is Yes:*
- Local Hotel
- Organization Member's Home
Name of Hotel or Organization Member Host:*
Address:*
Street Address Address Line 2 City State ZIP Code
Phone Number:*
Host's email address:*
Miscellaneous
Please type any additional information that you would like us to know:

Event Information