Workshop Request Name* Department* Phone Number*Your Email* Brief description of workshop or program requested*Reason for request/Perceived benefit for participants*Describe what you want the participants to get out of the workshop*Preferred dates and times (If you have no preference, enter N/A)If you have more than one preferred time, press the + below. Maximum is 3.DateTime Time allotted for workshop or program* Number of participants expected* Please provide a brief description of the participants (A particular class, student leaders, Staff, Faculty, student organizations, etc.)*Location where workshop or program will be held (Example: B242)* NameThis field is for validation purposes and should be left unchanged. Last Updated October 15, 2018