Presentation Request Form

All requests should be made at least two to three weeks prior to the requested presentation date. Please note that for class presentations, we require the instructor of record to be present for the entire duration of the presentation or the presentation will need to be rescheduled.

Date (option 1) *

Start Time (option 1) *

Date (option 2) *

Start Time (option 2) *

Presentation Topic: *

If other, please describe:

Time allotted for presentation: *

Which campus location is your request for? *

Presentation Location (Building, room number) (Type "ZOOM" if you are open to staff presenting via ZOOM platform) *

Media Equipment Available (select all that apply): *

LCD Projector

Laptop/Computer

Dry Erase Board

Webcam

None

Audience: *

Estimated Number of Attendees *

Department, Class or Organization: *

Contact Person: *

Contact Phone Number *

Contact E-Mail *

Additional Comments or Questions:

Please type your initials as acknowledgement of the following policy, "For class presentation requests, the Counseling Center requires the instructor of record to be present for the entire duration of the presentation."

Type initials as acknowledgement

If you happen to see this, do not fill this field.