Presidential Meeting Request

Meeting Date *

Is the date flexible?

If Yes, Please Provide Options

Meeting Start

Meeting End

Is this time flexible?

If Yes, Please Provide Options

Meeting Location

Topic/Purpose of the Meeting *

Has this topic previously been discussed with any campus administrators or stakeholders? If so, please list.

Number of Meeting Participants

Meeting Participants & Titles

Any Additional Comments / Information:

Your Name *

Department/ Organization

Email *

Phone Number *

For Internal Requests: Has this request been approved by your Division Vice President or Dean?

If Yes, who approved your request: