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DCFS Secretary Appearance Request

Before your function can be considered for the Secretary's calendar, the following information must be obtained. Requests will be accepted at any time, but please note that the Secretary's schedule is NOT set more than five weeks in advance.

Please Note: One to two staff members will accompany the Secretary to all events.

Bold indicates required fields

E-Mail Address
YOUR CONTACT INFORMATION
E-Mail Address
First Name
Last Name
Name of Organization
Contact Telephone
Contact Fax
Alternate Contact Name
Alternate Telephone
Alternate E-mail
EVENT INFORMATION
Name of Event
Address of Event
Include city and state
Date of Event
mm/dd/yyyy
Dress Code
Expected Number of Attendees
Appearance Type
Expected Length of Speech
Begin Time
End Time
Topic(s) of Interest
Seating/Speaking Arrangements Head Table
Lecturn
Stage
Microphone
Podium
DCFS Secretary Introduced by
Individuals/Organization(s) to recognize
Other Politicans/Dignitarys on Program
MEDIA DETAILS
Bio Needed Yes
No
Photo Needed Yes
No
Press Expected to Attend Yes
No
Additional Information
EVENT PARKING
Type and Location of Available Parking