Contact Us Name* First Last Email* PhoneQuestions/Comments*NameThis field is for validation purposes and should be left unchanged. Request Speaker Event Title*Primary Contact*Primary Contact Email* Primary Contact Phone*Speakers*John A. Elliott, Interim ProvostJeffrey Shoulson, Vice Provost for Interdisciplinary AffairsJohn Volin, Vice Provost for Academic AffairsEvent InformationSponsoring Organization*Event Description*Event Date* MM DD YYYY Event Time : HH MM AM PM Location*Host(s)*Remarks*Welcoming RemarksIntroductory RemarksBrief RemarksSpeechPanelistSuggested Bullet Points* Approximate Number of AttendeesPlease enter a number from 1 to 1000.Please enter a value between 1 and 1000Will there be other speakers?*YesNoWill there be dignitaries in the audience?*YesNoAnticipated Dignitaries Will there be UConn Alumni in the audience?YesNoIs the press or media expected to attend*YesNoAnticipated Press or Media* Please upload any pertinent documentsAccepted file types: pdf, doc, docx, jpg, jpeg, png.Additional Comments or NotesCommentsThis field is for validation purposes and should be left unchanged.