Workshop Request Form

Contact Information

Pronouns
 

Workshop Information

1st Choice
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2nd Choice
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3rd Choice
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• What type of workshop are you requesting?
• Goals of the workshop?
• what would you like the participants to know or be able to do after attending the workshop?
• Topics you would like the workshop to focus upon
• Questions you would like the presenters to answer
Please provide any additional information as needed.
Do you have a location to host the requested training/workshop? *
Do you plan to have food or beverages at this workshop? *

Workshop Information

Who is your target audience (check all that apply) *