Request for participation


This form is used to request the attendance or participation of the Dean of the Faculty of Medicine at your event. Requests must be submitted at least 90 days in advance; later requests will be considered based on the Dean’s availability. You will be contacted within three business days of submitting your request.

Requestors contact information
Attendance Role
Speaking Role
Event Information
Event Type
Please identify the strategic priority area(s) your event aligns with:
Attendee type (select all that apply)