Request to Contact Government Officials

All system-wide communication with governmental entities and any travel related for such purposes shall be coordinated through the University of North Texas at Dallas President's Office.

Please confirm you've received approval from your VP or Dean to make this request. If you have not, please do so and return to complete this form later.

Please don't fill out this input box.

First and Last Name*

Title*

Phone Number*

Email*

Your School/Division/Department*

Has your VP or Dean approved?*

Yes

Please confirm you've received approval to make this request. If you have not, please do so and return to complete this form later.

Your VP or Dean's Email*

Name and Title of Elected Official(s) you would like to contact*

For what purpose? (List all event details)*

What assistance do you need?*

Consulting

Assistance with event logistics and protocol for Elected Official

Attend event to greet/welcome Elected Official

Other (describe in "For what purpose?" above)