PAC Event Request Form

The 蘑菇视频 Ambassadors Council (PAC) exists to serve the University鈥檚 President and University Advancement as student ambassadors, internally to 蘑菇视频 and externally to the community at large, to further the mission of the University where students are strengthened for lives of purpose, service, and leadership.

For any questions, please email Dylan Miller at dylan.e.miller@pepperdine.edu

First Name

Last Name

Phone

蘑菇视频 Department or Company/Organization Name

Event Name

Event Date

Time PAC Should Arrive

Example - 2:00 PM

Time PAC Should Depart

Example - 4:00 PM

Location

Directions

Number of Ambassadors Needed

Request Attire for the Ambassadors

Blazer Attire (Formal with Navy PAC Blazers)Causal: PAC PolosOther

Other

At the latest, when is the deadline for receiving confirmation of the final headcount and the names of attendees?

Who should PAC members check in with upon arrival? (Please provide contact cell if available)

Please be aware that the requesting department will be asked to provide chartstrings for off campus events to reimburse PAC mileage. Please list them below if applicable.

Description of the Event

Purpose and Duties of PAC Members at the Event

Do you intend to ask a PAC Member to Speak? (If yes, please explain)