Fayetteville State University Meeting Notice

Fayetteville State University
Chancellor's Event or Meeting Request

This form should be submitted at least a month prior to the meeting unless it is an emergency or special called meeting.

Meeting
Last Name		First Name
Contact Information
Home Phone		Cell Phone
E-mail
Brief description of reason for meeting
Event
Event Title
Event Date		Event Time
Event Location
Location Address
Contact Person Last Name		First Name
Phone Number		E-mail Address
Cell Phone		Work Phone
Will Chancellor Anderson be the Keynote speaker? Yes No
If so, for how long?		Is this a media request for an interview? Yes No
Name of Media Outlet		Reporter's Name
Reporter's Cell Number		Reporter's Work Phone
How long will interview last?		Event or Story Topic
Attire