ASG Agenda Item Request Form

Date

Requestor’s name and title

Requestor’s Club, Department or Organization

Requestor’s Email Address

Date you hope to present to ASG

Alternate date(s) *
*Items are placed on an agenda at the discretion of the Chair pending consideration of the number of timely agenda requests

Will the presenter be requesting money from the ASG?
Yes No

If so, has the requestor/presenter followed the ASG Funding Request Process?**
** Please refer to and follow the outlined process for requesting funding from the ASG
Yes No

Title of your agenda item

Short description of the item

Name/title of presenter (if different from the requestor)

Amount of time requesting

Do you need any Zoom accommodations? Ex. Breakout Rooms, share screen, etc.
Yes No

Will the presenter need any additional resources or support for the presentation (ex: copies)?
If so, please list the resources here

Additional Information/Comments