Participation Request Form

The following form is designed to receive your request for Father Jenkins’ participation in events or speaking engagements. Please submit your inquiry by completing the participation request form at least 30 days prior to the date of your event. Thank you for your cooperation.

Note that submitting this request does not guarantee Father Jenkins’ availability.

General Information

Event Name:
Sponsoring organization or department:
Event Type: Blessing
Breakfast
Conference
Dinner
Luncheon
Mass
Meeting
Reception
Other
Briefly describe the event:
Event Date:
Start Time:
End Time:
Event Location:
On Campus Off Campus
- Room and Building:
- Room and Building:
- Street Address:
- City:
- State:
- Zip:

Event Details

What time would Fr. Jenkins be expected to arrive?
How long would Fr. Jenkins be expected to stay?
Are remarks requested?
Yes No
- Welcome remarks (3-5 min)
- Brief Talk (5-10 min)
- Full-length speech (15-20 min)
- Keynote address (20+ min)
Suggested topic(s) for comments:
Will someone introduce Fr. Jenkins?
Yes No
Who will provide the introduction?
Will the event include other speakers?
Yes No
Please list them in order of appearance:
Will there be a podium?
Yes No
Will there be a microphone?
Yes No
Will there be powerpoint capability?
Yes No
Expected attendance and general description of the audience:
Please list names and titles of dignitaries, elected officials or special guests who will be in attendance:
If media or press will be present, please list expected groups:
Additional comments:

Requestor's Contact Information

Name:
Title:
Phone:
Fax:
Mailing Address:
Email:

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Sustainable Energy. A Notre Dame Forum

University of Notre Dame

Office of the President - Rev. John I. Jenkins, C.S.C.

Participation Request Form

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