Event Request Form for Administrator E. Scott Pruitt
U.S. Environmental Protection Agency
To request the Administrator to attend and/or speak at your ewnt, please compute and submit the following form.
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Date of~t:
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Type of Event (banquet, lecture, panel discussion, etc.): '()Jen~ Sess,o~
nq Role of the Administrator: Qptt, 1 K~ (ll>t{,
Approximate time will the Administrator's Remarks Begin (example 9:00 am): JO :00 CiJ'Vl
Jo Expected length of the Administrator's remarks:
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pt? Will there be Q&A? lfso, for how long and who from? Ex: press, attendees: ~dU,S .M"ld S5
Apr Event begins {example 9:00 am):
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A;pri / 1 5: f Event ends (example 9:00 am):
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Will ther~be a hold room for the Administrator? (please include room name and/or number):
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Plei.s~ list the n~me and title of the individ~al who will intrpdu5e the Administrator3/w
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Approximate size of the audlence:"'Please also include a brief description of the makeup of the
17cv01906 Sierra Club v. EPA
ED_001523B_00002732-00001
audience (attomeys~ business owners, veterans, students etc.):
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lease indicate your
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Please list any special guests, elected officials, or other dignitaries who are invited or are
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Is this event open to the media?:
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Please list a point of contact for the day of the event, including a cell phone number and e-mail
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If applicable, please list the name(s) and contact information of the person(s) who will greet the
Administrator upon arrival, including a cell phone number and e-mail address for each contact:
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Please list any special information or directions, such as ongoing construction, specific points of entry, or parking instructions, about the event or location:
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Please list below any other relevant information such as agendas, background information or other relevant information about the event. (lnfonnadon may also he attached and submitted with this fonn.)
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Please include a contact number for
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Please indicate whether this event is held weekly, monthly or annually:
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Please indicate the attire for this event (business, formal casual etc.):
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::;;;;.nni,:~;~ e I 11....sp Please list any agencies, businesses, schools or universities, or other organizations that may be
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5 Please provide the security contact if contracted or head of.security for event location:
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17cv01906 Sierra Club v. EPA
ED_001523B_00002732-00002