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Workshops Request Form

Please submit Workshop Request at least two weeks prior to the event.

Requesting Organization/Department/Class *

Affiliation *

Contact Person *

Contact Phone *

Contact Email *

Desired Workshop Topic *

If you selected “Other” above, please describe

Workshop audience *

Who will be at the workshop? Class level(s), major(s), level of knowledge on the topic, etc.

Workshop Location (Indicate if the workshop is Virtual or In-Person) *

Workshop Date *

Month

Day

Year

Workshop Time *

Hour

Minute

Alternative Date 1 *

Month

Day

Year

Alternative Time 1 *

Hour

Minute

Leave this field blank