Leadership Development and Engagement Workshop Request Form

How to Request a Program

Step 1. Plan Ahead

All programs require at least two weeks advance notice and should have at least 8 attendees. Please note that you are responsible for providing any required presentation equipment on-site (e.g., a computer, audio/speakers, projector and screen); if you cannot provide the equipment, please let us know.

Step 2. Fill Out the Request Form

Make sure you include your contact information.

Step 3. We Will Contact You to Confirm

When your request is received, we will contact you to coordinate details and confirm the time, date, and location for your program. Your request is not confirmed until you are contacted by one of our staff members and receive final approval by email.

Step 4. Promote Your Program

Please collaborate with others and advertise your program to attract attendees and ensure participation.

Name

University Email

University Affiliation

Organization/Academic Class/Department

Target Audience

Freshmen

Sophomore

Juniors

Seniors

Graduate Students

University Phone Number

Workshop Location

Please tell us about the space. Is there movable furniture? Will there be technology available?

Estimated number of participants from your group in the workshop?

REQUESTED DATE AND TIME

Date and time preferences cannot be guaranteed, but we will do our best to accommodate them.

1st Preferred Date & Time (include start to end time)

2nd Preferred Date & Time (include start to end time)

3rd Preferred Date & Time (include start to end time)

Desired Workshop Length

What would you like the workshop to focus on? Why are you requesting the workshop?

Any other information that would be helpful to know (ex. physical limitations of a group member, room set-up, etc.)?

Please provide a brief summary of how this workshop will assist students in matriculating to graduation.