UTSA Dean of Students Event Request Form

Use this form to invite UTSA Dean of Students LT Robinson to attend or speak at your event, or request a pre-recorded video message.

Requests should be submitted at least 3 weeks prior to the date of the event.

If you have an urgent request, please contact Beth Scholl at Beth.Scholl@utsa.edu.

Requesting Group Information

Group Name or Student Organization

First Name

Last Name

MyUTSA ID

The format is 'abc123'. Do not enter the literal value 'abc123'.

Mobile Phone

numbers only, no special characters

Event Information

Event Name

Description of Audience

Example: 30 Staff and 5 Grad Students, 100 Students, etc.

Where will the event be held?

Location

On-Campus: Campus building, Room number
Off-Campus: Street Address, Room number, etc.

Event Date

Event Start Time

Duration of Event

Senior Vice Provost and Dean of Students Participation Information

Requested Arrival Time for the Senior Vice Provost and Dean

Attire

If other, please specify.

Role of the Dean at Event (Check all that apply)

GuestSpeaker

Type of Presentation Requested:

If other, please specify.

Length of Time Speaking

Other Speaker(s)

Please include names.

Additional Information

Please describe any special situations or requirements.

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