Presentation Request Form

Name *

Email Address *

Phone Number *

Organization or Department *

Desired presentation? *

Learning Center Overview (5-15 minutes)

Brief Presentation/Workshop (20-30 minute review of an academic success topic)

In-depth Presentation/Workshop (50-60 minute review of an academic success topic)

Topic(s) of Presentation *

For what group are you requesting this presentation? *

Presentation Date, Choice #1 *

Month

Day

Year

Presentation Date, Choice #2 *

Month

Day

Year

Presentation Date, Choice #3 *

Month

Day

Year

Preferred Time *

Hour

:

Minute

am

pm

Tentative Location *

Expected Number of Attendees? *

This doesn't have to be 100% accurate, but it will help us know what supplies to bring along.

Can you share details about the group we are presenting to? *

Please let us know what kinds of things to focus on. What we would present to a group of freshman is different than what we would share with seniors or graduate students. Engineering students might want different information than students studying music or political science. It helps us plan your presentation better.

Learning Center

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