Please submit as much information as possible in order for us to process your request. This includes the event/meeting agenda, brochure, and any additional materials regarding the event.  We will make every effort to accommodate your event based on the information provided. 
Event Information

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* 1. Event Name

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* 2. Event Date

Date

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* 3. Host Organization

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* 4. Venue Name and Address

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* 5. Specific Location (If applicable: suite, floor, room number, etc)

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* 6. Event Start Time

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* 7. Event End Time 

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* 8. What is the request of the Superintendent?

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* 9. Number of Attendees

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* 10. Who will be in the audience?

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* 11. Are other elected officials / dignitaries invited to this event? (including ASD School Board of Directors) ? Please list:

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* 12. Is there a cost to attend this event?

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* 13. Will there be reserved parking for the Superintendent?

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* 14. Will any portion of this event be outdoors?

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* 15. Will a meal be served?

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* 16. What is the attire?

Please complete this section if you are requesting the Superintendent speak at your event:

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* 17. What time or where in the program would the Superintendent speak?

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* 18. How long (in minutes) would you like the Superintendent to speak? 

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* 19. What topics would you like the Superintendent to address?

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* 20. If other guests are speaking at this event, who are they?

File Uploads 

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* 21. Event Agenda

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 22. Invitation or Promotional Materials 

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 23. Bios of other panelists or speakers

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File
 
 100% of survey complete.

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