On-Campus Workshop Request

Please complete this form to request an on-campus workshop with Kirk Walker. A variety of topics are available; please refer to the workshop page for the full listing. Please note that the governance workshops include the SAIS Board Governance Survey (a $150 value).

The fee will be paid via credit card at the conclusion of this form.

Questions: Carole Weems carole@sais.org or (678) 255-8930

SCHOOL INFO

Annual operating budget: *

Please select from the following options:
Not sure if your school is a member of SAIS? Check the member roster here. *

SAIS Member School ($1,200 plus lodging and travel)

Non-Member School ($1,400 plus lodging and travel)

Please select from the following options:
Not sure if your school is a member of SAIS? Check the member roster here. *

SAIS Member School ($500 plus lodging and travel)

Non-Member School ($1,400 plus lodging and travel)

Promo Code (if applicable)

School Name *

School Website *

School Phone (xxx-xxx-xxxx) *

School Address *

City *

State *

POINT OF CONTACT

First Name *

Last Name *

Position/Title *

Email Address *

Direct Phone (xxx-xxx-xxxx) *

ON-CAMPUS WORKSHOP FEE

The SCHOOL is responsible for providing the following items:

> food and drinks for participants as needed

> meeting space

> screen, LCD projector, and microphone if needed based on size of room/audience

> wifi

> payment of fee, lodging, and travel

Please indicate below that you understand and agree to these terms.

School agrees to provide wifi. *

Agree

School agrees to provide LCD projector, screen, and microphone (if needed based on room/audience size) *

Agree

TOPIC & SESSION LENGTH

Please select a workshop topic: *

If other, briefly describe here, or add notes for an existing topic.

Desired workshop length. *

Desired workshop length if 'other'. *

Questions or Comments?

DATE / TIME / LOCATION

Please suggest three dates below and indicate preferred start time for the session. While scheduling priortiy will be given to SAIS member schools, we will do our best to schedule your preferred date and time.

Workshop Location - Street Address (including city/state/zip) *

Date Request #1 * +

Date Request #2 * +

Date Request #3 * +

Preferred Start Time (include AM/PM) *

Time Zone *

# of people expected *

Hotel Suggestion (please include website and street address) *