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Class Presentation Request Form

Purpose: This form is to request a presentation during your class by a member of Student Success Center. We request that you give us a lead time of two-weeks before the presentation date.

Required Fields (marked in red): Your Name, E-mail Address, Phone Number, Class Name, Number of Students, Date/Time of Presentation, Class Location, Presentation Topic.

Person Making Request
E-Mail Address
Phone Number
Class Name
Number of Students
Date/Time of Presentation
Alternate Dates
Class Location
Presentation Topic

Other: 
Additional Information: