Please provide the following information. All workshop / program requests must be submitted two weeks prior to the requested workshop / program date.
All fields are required
Name
Title
Department
Phone Number
Email
Brief description of workshop or program requested
Reason for request / Perceived benefit for participants
Describe what you want the participants to get out of the workshop
Preferred dates and times (If you have no preference, write N/A)
Option 1 Date
Option 1 Time
Option 2 Date
Option 2 Time
Option 3 Date
Option 3 Time
Time allotted for workshop or program
Number of participants expected
Please provide a brief description of the participants (A particular class, student leaders, RAs, Staff, Faculty, student organizations, etc.)
Location where workshop or program will be held