Introduction

The following form can be used to request the attendance of Chancellor Wilcox and/or Provost and Executive Vice Chancellor D’Anieri. Please fill out the required sections and submit the form no later than 30 days prior to your event. Upon review you will be notified via the e-mail address provided on this form whether your request has been accepted or rejected.

Note: If you are submitting this form from a UCR campus department, unit or organization, approval must be obtained by your Dean or Vice Chancellor prior to submitting the request. Any requests submitted without this approval will be rejected.

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Requestor Information

Request Submitted by
Contact Information for Event Organizer
Use the above Participant information as the Event Organizer.

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Event/Meeting Information

Requested Event Date(s)
Are you requesting the Chancellor's attendance?   
Are you requesting the Provost & Executive Vice Chancellor's Attendance?   

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Audience Information

Audience Composition (Please check all that apply)

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Additional Materials

Reminder

Please submit your request at least 30 business days prior to the event.

© 2015 University of California Riverside | Privacy Policy | Terms and Conditions

© 2015 University of California Riverside | Privacy Policy | Terms and Conditions

Summary

© 2015 University of California Riverside | Privacy Policy | Terms and Conditions