President Speech Request

Members of the college or community may invite Dr. Devin Stephenson, President of Northwest Florida State College to participate in a program or event.
Dr. Stephenson accepts many invitations and accommodates requests, as his schedule allows, that are in keeping with the mission of Northwest Florida State College.
Please complete the form below to request President Stephenson’s participation in your program or event. Submit your request at least three (3) weeks in advance of the date requested.
Please Note: Submitting this form does not guarantee that the president is available to speak at or attend your event.

REQUEST DETAILS

Type of Request:






If You Checked “Other” Above, Please Specify What Type of Remarks Are Needed


Time Allotment:


Suggested Speaking/Talking Points:

EVENT DETAILS

Name of Event:


Purpose of Event:


Date of Event: Start Time: End Time:

Time President Will Speak:
Estimate president's time as closely as possible as multiple events may be scheduled on the same day. If your event date and time changes after submitting this request, contact the President's office at 850-729-5360 as soon as possible.


Length of Speech/Remarks:


Approximate size of audience:


Audience Profile: (check all that apply)









Please note whether the audience will include people the president should recognize (local officials, dignitaries, NWFSC donors and supporters, etc.) Forward bios or other important audience information to lauxc@nwfsc.edu and sasserl@nwfsc.edu.

Check all that apply:



Location of Event:


Event Address:


Special Parking Arrangements/Directions:


Room Setup:

PRESENTATION SETUP

Please check all equipment available:





Seating arrangement for President:


Attire for the event:

CONTACT INFORMATION

Department, Organization or Person making request:


Contact Numbers:


Email Addresses:


Contact Person meeting the president at the event:


Contact's Cell Phone Number:


Do you need the President's Biography or vitae?

Do you need the President's picture for the event?


PRINT THE COMPLETED FORM for your files before submitting your request. You will be notified by email about the status of your request as soon as possible.

If you have questions or need assistance completing this form, contact Carolyne Laux at lauxc@nwfsc.edu or Linda Sasser sasserl@nwfsc.edu.