Event Participation Request

If you are planning an event that advances the academic excellence of Indiana University Bloomington, you may request the provost’s participation using the form below.

Office staff will contact you with a response after reviewing the provost’s calendar. Call 855-9011 with questions about the status of your request.

Please make your request a minimum of 60 days before the event.

1. Event Information


(mm/dd/yyyy)

2. Contact Information


(123-123-1234)

(123-123-1234)

3. Event Details


Are remarks requested?

If yes, what type of remarks are requested?




Will the event include other speakers?


Will the Provost be introducing any other speakers?


Will there be a podium and microphone?

Will there be PowerPoint capability?

Will press/media be in attendance?

Will written invitations be issued?


Note: All fields are required.