Workshop Request

Please complete the event/presentation request form  in it's entirety at least three weeks in advance of your event date. More details you can provide will help expedite fulfillment of your request.

Contact Person Contact Person First Last
Phone Phone - ### - ### ####
Email
Name of Organization/Class Requesting Workshop
Preferred Date Preferred Date / MM / DD YYYY
Preferred Time Preferred Time : HH MM AM/PM
Second Choice Date Second Choice Date / MM / DD YYYY
Second Choice Time Second Choice Time : HH MM AM/PM
Workshop Location
What is the duration of the event? (ie. 30mins, 1 hour, etc..)
Number of Students
Equipment Available in Room
Please provide a brief description of your event, and/or presentation, you are requesting.