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Division of DEI Engagement Request 
This form is used to request a speaking engagement, personal appearance or video message recording by a member of the Division of Diversity, Equity and Inclusion. Online submission of this form is required for all requests. To be completed by the event coordinator and submitted for review. Priority will be given to requests submitted at least 4 weeks prior to the event. If you have any questions, please contact the Office of the Vice President for Diversity, Equity and Inclusion via email at [email protected]

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This form is used to request a speaking engagement, personal appearance or video message recording by a member of the Division of Diversity, Equity and Inclusion. Online submission of this form is required for all requests. To be completed by the event coordinator and submitted for review. Priority will be given to requests submitted at least 4 weeks prior to the event.
If you have any questions, please contact the Office of the Vice President for Diversity, Equity and Inclusion via email at vpdei@jmu.edu

Who are you interested in having at your event?
Event name:
Event date (if multi-date event add details to comment section below) 
If your event is a multi-date or series, please add details below:
Day of the week
Event location:
Event time (start/finish):
Event contact person:
Event contact person's division:
Event contact person's department:
Audience - select all that apply
Type of attendance requested:
If remarks requested, what type:
Length of requested presentation/remarks:
What topics should be adressed:
Name & title of person introducing, if applicable:
Are there other speakers:
Order of program:
Dress code:
Is there anything else that would be helpful for us to know as this request is reviewed:
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