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LAS Workshop Request Form

Please use the following form to request a presentation for your class/organization. Handouts may be provided during the workshop. Additional handouts can also be found on the LAS handout page.

*Required Field

Name: *
E-mail address: *
Phone number: *
  
Name of Course/Group: *
  
Please select one of the these topics: *
  
Other Topic:
Minutes allowed for Workshop: *
What do you want participants to learn from the workshop?:
What is the academic classification of the majority of the audience?
In which college/school is the majority of the audience?
  
Meeting Time: *
  
Preferred Date (mm/dd/yy): *
Alternate Date (mm/dd/yy): *
Expected Attendance: *
Where would you like the workshop to be held?
Location of room (if indicated above):
Will a computer/projector be available at this location? *
Additional comments/information:
Please inform your class/group about the workshop and solicit their input so the content can be tailored to meet their specific needs. Please share this information with the presenter once the workshop is scheduled.