Speech Requests

*Except the agenda information, all other Information are required. If not applicable, please type in N/A.

Contact Information
Event Name:
Contact Person:
Email:
Office Phone:
Cell Phone:
Description of the event:
Sponsoring Organization:
Event Information
Event Start Date:
( mm/dd/yyyy )
Event Time:
( 09:00 AM )
Event End Date:
( mm/dd/yyyy )
Event Location:
Number of Estimated Attendance:
Attire Requirement:
Other
Welcoming remarks (3-5 minutes) Short remarks (3-5 minutes)
Speech (15-20 minutes) Major address(20 minutes +)
Press/media expected to attend:  Yes     No
Audio/Visual available(please describe):
Submit your agenda: (Optional
Only PDF file is allowed
File size less than 900KB)
   

*Except the agenda information, all other Information are required. If not applicable, please type in N/A.

Discovery Park Engagement

Burton D. Morgan Center
West Lafayette, IN 47907
Phone (765) 494-3662
Email dpengage@purdue.edu

About Discovery Park

Discovery Park and its major centers lead Purdue's large-scale interdisciplinary research efforts.

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Discovery Park
610 Purdue Mall
West Lafayette, IN 47907