Use this form to request a Regent's appearance. Your name Department Phone Email Regents Requested - Select -AnyJoel BergstromJames FarnsworthRobyn GulleySamuel HeinsDoug HuebschRuth JohnsonTadd JohnsonEllen LugerKowsar MohamedMary TurnerKodi VerhalenPenny Wheeler Alternate(s) - optional - None -AnyJoel BergstromJames FarnsworthRobyn GulleySamuel HeinsDoug HuebschRuth JohnsonTadd JohnsonEllen LugerKowsar MohamedMary TurnerKodi VerhalenPenny Wheeler Name of Event Date Time of Appearance (Regents expected arrival time through the conclusion of their responsibilities.) Start End Time of Event Start End Location Description of Event and Audience Academic Robe Required? Yes No Will appearance include speaking role? Yes No If yes, please complete the questions listed below. If no, scroll down to submit request. Expected Length of Comments Other Speakers Topic Primary Contact Person Will this event be recorded? Yes No Leave this field blank