Vice Provost and Dean Request - Division of Student Learning and Academic Success

The submission of this form does not confirm the Vice Provost and Dean's attendance. After completing this request, please contact Brittany Iglesias at (407) 823-2373 or via email at Brittany.Iglesias@ucf.edu.

1 Contact Information

2 Event Information

3 Audience Information

4 Additional Information

This form has been provided to help coordinate appearances, speeches and other requests of Vice Provost and Dean Theodorea Regina Berry. Your request must be submitted online using the form below.

Please keep in mind that the vice provost’s and dean's schedule is very demanding and is subject to change at any time in the event of emergencies or important university business. If such situations affect the provost’s attendance at your event, a member of our staff will contact you, and when possible we will provide a representative, if you wish. In the event of agenda or timing changes, we ask that you contact our Brittany Iglesias immediately at 407-823-2373.

You must submit your request four weeks in advance of your event. If you have questions concerning this information, please contact our office at 407-823-2373. Thank you for your cooperation.
Requester Information
Name*
First Last
Email*
Phone*
Mobile Phone
Is this a college/school event?*
- Yes
- No
Select college/school*
Department*

Event Information
Name of Event*
Sponsoring Organization
Date of Event*
Date Format: MM slash DD slash YYYY
Start Time*

: HH

MM
End Time*

: HH

MM
Internal Event Location*
Event Location*
Room Number
Event Address*
Street Address Address Line 2 City State ZIP Code
Drive time to location from UCF
Parking instructions/information
Description of Event*
Purpose of Event*
Expected Outcome*
Desired Vice Provost and Dean arrival time?

: HH

MM
How long is the Vice Provost and Dean expected to stay?
Are Remarks Requested?*
- Yes
- No
Type of Remarks*
Other (Describe)
Recommended topics the Vice Provost and Dean should address:
Will the following be provided*
- Rostrum (podium)
- Stationary mic
- Handheld mic
- Label mic
- Drop mic
Who is the point of contact for the Vice Provost and Dean at the event?*
Point of contact cell number*
Who will introduce the Vice Provost and Dean? (name and title)

Audience Information
Open to the public?*
- Yes
- No
Audience Type? Please check all that apply*
- Dignitaries
- UCF Faculty
- UCF Students
- UCF Staff
- UCF Alumni
- UCF Trustees
- Press/Media
Names of media groups represented:

Additional Information
If, for any reason, the Vice Provost and Dean is unable to speak on the requested date, will you accept an alternate speaker from the University of Central Florida?*
- Yes
- No
Expenses of the event charged to
Any other important details?
Phone
This field is for validation purposes and should be left unchanged.

Appearance Request

Vice Provost and Dean Event Request

Requester Information

Event Information

Audience Information

Additional Information