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Superintendent Appearance Request
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Superintendent's Appearance Request
Request Type
External
Internal
Contact Information of Requestor
Name
School/Department/Organization
Email
Office Phone
Cell Phone
Contact Information of Requestor
Name
School/Department/Organization
The control is not available because you do not have the correct permissions.
Office Phone
Cell Phone
Event Information
Event Name
Event Description
Sponsoring Organization
Address
City
State
Zip Code
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Is there parking provided or nearby?
Anticipated cost
Yes
No
Event Start Date & Time
Event End Date & Time
12 AM
1 AM
2 AM
3 AM
4 AM
5 AM
6 AM
7 AM
8 AM
9 AM
10 AM
11 AM
12 PM
1 PM
2 PM
3 PM
4 PM
5 PM
6 PM
7 PM
8 PM
9 PM
10 PM
11 PM
00
05
10
15
20
25
30
35
40
45
50
55
12 AM
1 AM
2 AM
3 AM
4 AM
5 AM
6 AM
7 AM
8 AM
9 AM
10 AM
11 AM
12 PM
1 PM
2 PM
3 PM
4 PM
5 PM
6 PM
7 PM
8 PM
9 PM
10 PM
11 PM
00
05
10
15
20
25
30
35
40
45
50
55
Less than 2 weeks requires an emergency submission.
If the superintendent is not able to attend your event, would you like us to suggest a designee to speak on his behalf?
Anticipated number in attendance
No
Yes
Description number in attendance (select all that apply)
Anticipated dignitaries/elected officials in the audience
Business Community
Elected Officials
Community Members
Facility Staff
Parents
Retirees
Students
N/A
Name of person who will welcome and assist the superintendent upon arrival
Cell number of person
Superintendent's Involvement
Superintendent's Involvement Requested From
Superintendent's Involvement Requested To
12 AM
1 AM
2 AM
3 AM
4 AM
5 AM
6 AM
7 AM
8 AM
9 AM
10 AM
11 AM
12 PM
1 PM
2 PM
3 PM
4 PM
5 PM
6 PM
7 PM
8 PM
9 PM
10 PM
11 PM
00
05
10
15
20
25
30
35
40
45
50
55
12 AM
1 AM
2 AM
3 AM
4 AM
5 AM
6 AM
7 AM
8 AM
9 AM
10 AM
11 AM
12 PM
1 PM
2 PM
3 PM
4 PM
5 PM
6 PM
7 PM
8 PM
9 PM
10 PM
11 PM
00
05
10
15
20
25
30
35
40
45
50
55
Less than 2 weeks requires an emergency submission.
Purpose of Attendance by Superintendent
Type of Participation Requested
Will the superintendent have a speaking role?
Please select a value...
Host/Co-host
Participant/Speaker
Guest
Please select a value...
No remarks necessary
Welcoming remarks (3-5 minutes)
Short remarks (5-10 minutes)
Speech (15-20 minutes)
Major address (20+ minutes)
Panel discussion
Please enter preliminary talking points - facts about the organization for the speaking role
If there is a speaking role, who will assist the superintendent with his remarks?
Superintendent Selection
Please select a value...
Superintendent
Other Person
Please select another value...
The control is not available because you do not have the correct permissions.
Superintendent Decision
Please select a value...
Accepted
Declined
Request Another Person
Please select another value...
Designee Decision
Please select a value...
Accepted
Declined
Request Another Person
Please select another value...
Reason for Declined
Reason for Reassignment
No
Yes
One
Two
Three
All
Please select a value...
SS1
SD1
OD1
Saved
Submitted
Pending Assignment
Pending Invitation Decision - Superintendent
Pending Invitation Decision - Other
Pending Gatekeeper Reassignment
Appearance Request Accepted
Appearance Request Declined
Cancelled
Attach File
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