Special Workshop Request Form

First Name

Last Name

Department/Program

Workshop Genre Workshop Genre

If other, please provide the topic

Please select all who will benefit from the special workshop training:

Goals of the Workshop: What are you hoping to learn, gain, and/or achieve from this workshop?

Logistics: Provide some details about the session that would be ideal for scheduling this workshop (rough date range, day of the week, time of day, virtual or in-person, number of participants, etc.)

Additional Information: Provide any additional information that would be helpful.

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