Request Speaker To request a speaker for your event, you may use this online form. Please submit your request at least several weeks prior to your event. If you have questions, please contact Kathy Slowik at 860-486-6399. All fields marked with an asterisk(*) denotes a required field. Event Title*Primary Contact*Primary Contact Email*Primary Contact Phone*Speaker(s)* Mun Y. Choi, Provost Amy Donahue, Vice Provost for Academic Operations Sally Reis, Vice Provost for Academic Affairs Larry Silbart, Vice Provost for Strategic Initiatives Event InformationSponsoring Organization*Event Description*Date* Time : HH MM AM PM Location*Host(s)*Remarks* Welcoming Remarks Introductory Remarks Brief Remarks Speech Panelist Duration of Speech*Brief Biography of Individual*Suggested Bullet Points*Approximate Number of AttendeesPlease enter a value between 1 and 1000.Will there be other speakers?*YesNoWill there be dignitaries in the audience?YesNoMaybeAnticipated Dignitaries*Will UConn Alumni be in the audience?YesNoMaybeIs the press or media expected to attend?*YesNoMaybeAnticipate Press or Media*Please upload any pertinent documents.Additional Comments or NotesNameThis field is for validation purposes and should be left unchanged.