Scheduling Request Form

Prefix

First Name*

Middle Name

Last Name*

Mailing Address*

Mailing Address 2

City*

State*

Zip Code*

Phone*

Email*

We invite Governor Little to be our*

Date & Time*

Location of the event

Description of event

Purpose of Governor Little's involvement
Additional information
First Lady to attend?
Is press/media involved? In what capacity?

A few guidelines

We do not schedule anything more than six weeks in advance. Once we receive your request we will review it at the appropriate time.
Any press releases, sound bytes, printed material, etc. that use Governor Little's name or quotes must be approved by the Office of the Governor before being distributed. If you are unwilling to do this, the Governor will be unable to participate in your event. Submission of this form indicates that you understand and accept these terms.

By checking this box, I agree to the above guidelines *