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CEO Scheduling Request Form
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CEO Scheduling Request Form
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CEO Scheduling Request Form
Requestor's Name
*
First
Last
Email
*
Requesting Organization
*
Organization Web Address
*
Type of Request (Speaker, panelist, attendee, supporter, etc.)
*
Event Information
Title
*
Date
*
MM slash DD slash YYYY
Location
*
Time (duration)
*
Estimated # of Attendees
*
Purpose/Mission
*
What can YWCA USA contribute to make this event a success?
*
Onsite Point of Contact (Name/Phone/Email)
*
Will A/V be provided?
*
Yes
No
Presentation Title
Presentation Speaking Duration
Individuals to recognize in presentation (Name/Organization/Title)
Will travel/expenses be covered
*
Yes
No
Please upload any relevant files (event program, w9, expense form, ect.)
Max. file size: 2 MB.