Request for Workshop from the Division of Student Affairs

If you are not contacted by the presenter within 2-3 days of submitting this form, please contact the present directly.

Faculty Contact Information
Name
Phone
Email
Campus Address

Class Information
Class
Location
Date
Time
Number of Students

Workshop Requested
Workshop Name
Your request will be emailed to
 
Special Instructions or comments to workshop facilitator

                                         

 

 

 
Division of Student Affairs