Regent University - Administrative Services - Student Organization Request For Speaker Application

This form must be submitted BEFORE you invite your speaker to campus. (Regent students, faculty, and staff as well as CBN and ACLJ employees are not considered "guest" speakers for this purpose.)

SPEAKER POLICY: The speaker(s) must in some way contribute to the mission and vision of the University and must agree in advance to conduct themselves in a manner consistent with traditional Christian values, including the avoidance of profane language, potentially slanderous statements, advocacy of violent change or overthrow of the government.

In-person guest speakers must follow all university COVID-19 protocols and procedures as outlined in the Regent Ready policies. Proof of a negative PCR test result or proof of vaccination must be submitted to Jennifer Gribble (jgribble@regent.edu) 5 days before your event or your speaker will need to present virtually.

By submitting this form, the student organization, faculty/staff advisor, and school dean acknowledge they understand the speaker policy and take responsibility for fully informing guest speaker(s) of the University’s expectations.

If you have questions, please contact Jennifer Gribble, the Director of Student Engagement, at 757.352.4968 or jgribble@regent.edu.

All fields marked with an asterisk are required.

Organization Name:*

Faculty/Staff Advisor:*

Faculty/Staff Advisor Email:*

Title of Event:*

Date of the Event:* choose a date

Event start time:*
:

Event end time:*
:

Anticipated Location of Event:*

Is this event open to all Regent students?*
If no, explain why not in the 'other' field.

Yes
No

Is this event being advertised outside the Regent community?*
If yes, explain to who in the 'other' field.

Yes
No

Is this event a fundraiser?*
If yes, explain fundraising activities in the 'other' field.

Yes
No

Are there specific University employees involved in the planning or execution of this event?*
If yes, explain who in the 'other' field.

Yes
No

Who are the desired attendees?*

List the name of speaker/current position/company affiliation:*
List multiple speakers here.

What type of transportation and/or lodging is needed for the speaker(s), if any? Be specific.*

What type of security is needed for the speaker(s), if any? Be specific.*

Are there any scheduled meetings or interviews with CBN? Be specific.*

List the speech topic and why you would like to invite this guest speaker(s) to Regent University:*
Provide these details for each speaker listed.

Applicant's Signature:*
(Type your name here. This name and your form submission date will be considered an electronic signature.)