Office of the President

EVENT SUMMARY FORM

This form should be completed in its entirety and returned as soon as possible (but not less than two weeks prior to the scheduled event) to Lynn Zayachkiwsky, President's Office, Unit 2048. Please enclose brochures, programs, and other relevant available information, or send immediately upon availability. Please call Lynn at 6-2337 two days prior to the event to confirm all arrangements and discuss any changes or updates.

Please provide the following contact information:

Event Date:
Event Time:

Organization/Function:

Contact: Name: Phone: Fax:
E-Mail:

Name of person who will introduce the President

Name of person in charge of event

Location (include directions if not in Storrs):

Brief description of event:

Program agenda (fax or e-mail if available):

President's role in the program:

President's role will begin at: a.m. p.m. and end at: a.m. p.m.

Composition of audience (faculty, students, business leaders. community members, etc.):

Issues that you might like the President to address (please include as much relevant information as possible.)*:

Person(s) in the audience that the President might acknowledge:

* PLEASE BE PRECISE, INCLUDE STATISTICS, HISTORY, PAST/FUTURE EVENTS, ETC. WHEN APPROPRIATE, PLEASE SEND ADDITIONAL PERTINENT INFORMATION TO ME VIA FAX (486-2627)OR E-MAIL (lynn.zayachkiwsky@uconn.edu).

*Event Date:*	*Event Time:*

*Organization/Function:*
*Contact:*	Name: Phone: Fax: E-Mail:


*Name of person who will introduce the President*
*Name of person in charge of event*
Location (include directions if not in Storrs):
*Brief description of event:*
Program agenda (fax or e-mail if available):
*President's role in the program:*
President's role will begin at:	a.m. p.m. and end at: a.m. p.m.
*Composition of audience (faculty, students, business leaders. community members, etc.):*
**Issues that you might like the President to address (please include as much relevant information as possible.):***
*Person(s) in the audience that the President might acknowledge:*
	* PLEASE BE PRECISE, INCLUDE STATISTICS, HISTORY, PAST/FUTURE EVENTS, ETC. WHEN APPROPRIATE, PLEASE SEND ADDITIONAL PERTINENT INFORMATION TO ME VIA FAX (486-2627)OR E-MAIL (lynn.zayachkiwsky@uconn.edu).