UT Student-Athlete Development

Community Service Request
In order to properly coordinate student-athlete participation, we ask that you please submit your request no earlier than 3 months in advance, and no later than 3 weeks prior to the event. Please know that approval of an event does not guarantee athletes, coaches or teams will be able to attend. We do our best to fulfill each request that we receive, but sometimes student-athletes cannot attend due to the demands of both their athletic and academic endeavors. In an effort to maximize the amount of time that student-athletes have at your event, we limit round-trip travel to 60 minutes. If your event is farther than the allotted distance we may be unable to accommodate your request. We thank you for your patience and understanding!

Title of Event:

Date of Event:

 This event is at least 3 weeks away

Time of Event:

Begins -
Ends -
LOCATION OF EVENT

Location:

Address:

City:

State:

Zip Code:

DESCRIPTION OF EVENT

Please check one of the following categories:

 Special Visit - Hospital Special Visit - Nursing Home Special Visit - Detention Center Special Visit - Other Speaking Engagement - Elementary School Speaking Engagement - Middle School Speaking Engagement - High School Speaking Engagement - Detention Center Speaking Engagement - Other Community Activity - Highway Clean-up Community Activity - Walk-a-thon Community Activity - School Carnival Community Activity - Mentoring Community Activity - Other

Please provide a description of the topic(s) of discussion or the activities of the event:

Age Group:

Size of Audience:

CONTACT INFORMATION

Name:

Phone:

Email:

ALTERNATE CONTACT INFORMATION

Name:

Phone:

Email: