Form request to address the Board

Submit a request to address the Board of Trustees

The procedures, terms, and conditions relating to requests to address The University of Memphis Board of Trustees, or a Board committee, during regular meetings of the Board can be found in the Public Comment Policy. Persons who are scheduled to address the Board or a Board committee must comply with the policy.

First Name*

Please provide your first name

Last Name*

Please provide your last name

Mailing Address*

Address*

Please provide your street address

Address 2

Please provide the second line of your street address

City*

Please provide your city

State*

Please provide your state

Zip Code*

Please provide your zip code

Email address*

Please provide your email address

Telephone Number*

Please provide your telephone number

I am a(n)

Student

Faculty Member

Staff or other Employee

Alumna/Alumnus

Member

(If applicable) I am requesting to address the Board in my capacity as a representative of:

(identify your role (e.g. officer, member) and the group, organization, association, entity or other body you that you represent)

Role

Please identify your role and organization

I am requesting to address the Board about:

Item

The following item on the agenda (identify item)

Another issue relevant to the responsibilities of the Board (identify issue)

Identify Item/Issue*

Please describe the item or issue

Text Messages (Optional)

I agree to receive text message communications from the University of Memphis

Press the Submit button below to email this form to trustees@memphis.edu