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Home
Contact Chancellor Garcia
Step
1
of
7
14%
General Information
Organization Name
(Required)
Organization mission or brief description
(Required)
Contact Name
(Required)
First
Last
Phone
(Required)
Email
(Required)
Are you requesting:
(Required)
A meeting with the Chancellor
The Chancellor’s attendance at an event
Meeting Information
Meeting Description
(Required)
Please provide agenda details, if available, including topics.
(Required)
List meeting attendees and provide titles.
(Required)
Is this meeting virtual or in person?
(Required)
Virtual
In person
Venue Information
Venue Name
(Required)
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Room Name
Event Information
Event Name
(Required)
Event Description
(Required)
Please provide agenda details, if available, including topics.
(Required)
Please provide audience profile and estimated audience size.
(Required)
Proposed role for the Chancellor
(Required)
Keynote Address
Brief Remarks
Panelist
Presentation
Other
Is this a virtual or in-person event?
(Required)
Virtual
In-person
Venue Information
Venue Name
(Required)
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Room name or number
(Required)
Date
Requested Date
(Required)
Month
Day
Year
Requested start time
(Required)
Hours
:
Minutes
AM
PM
AM/PM
End Time
(Required)
Hours
:
Minutes
AM
PM
AM/PM
Is your date/time flexible?
(Required)
Yes
No
Flexible date and time information
Alternative date
(Required)
Month
Day
Year
Please provide availability for this alternative date.
(Required)
Alternative
If the Chancellor is unavailable, would you like another CCCS representative to attend?
(Required)
Yes
No
Previous Attendee
Has the Chancellor previously met with this person or organization?
(Required)
Yes
No
Previous Attendee Info
Most recently attended meeting/event.
(Required)
Most recently attended meeting/event date.
Month
Day
Year
Outreach
Will you be promoting this meeting/event externally?
Yes
No
Outreach
Once we confirm Chancellor Garcia’s attendance, you are welcome to tag him in posts using the following. Chancellor Garcia’s handles: Facebook: /CCCSJoeGarcia X: @CCCSChancellor CCCS handles: Facebook: /gocccs X: @GoCCCS
Will media be invited to this event?
Yes
No
How will you be promoting the event?
Please provide links to the Facebook, X, or web page for your organization and/or event. Please provide any preferred hashtags.
CCCS Internal