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Presentation or Training Request

Requester's Information

Name*

First Name

Last Name

Email*

Phone number*

Requested by*

Student Faculty Staff

Presenting to*

Students Faculty Staff Student Group or Organization Community Group or Organization

Please describe your student audience*

Please describe your faculty audience*

Name of department*

Name of student group or organization*

Name of community group or organization*

Presentation, Training, or Workshop*

Please Specify:*

Do you have a specific time you would like to request or is your schedule flexible? - Copy*

Specific Flexible

Specific date and time to present*

Flexible date(s) and time(s) to present*

Length of time requested*

Estimated number in attendance*

If you have the Zoom link to your class or meeting, please input it here.

If not, we will be in touch in the future.

Please describe more about your audience and presentation request so we can best help tailor your outreach*