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Outeach Request Form
Outeach Request Form
Date of Program:
mm/dd/yy
Must be at least two weeks from today's date
Start Time:
End Time:
Organization/Class:
Approximate Number of People:
Contact Person:
Phone:
Email:
Building Name:
Room Number:
Computer Available:
SELECT ONE
YES
NO
Projector Available:
SELECT ONE
Yes
No
Today's Date:
mm/dd/yy
Please select the appropriate box or customize your request. Below is a list of our most common presentations. Feel free to request a tailored presentation as well. Your designated presenter can work with you to develop a specialized presentation(Please note presentations are generally 45-50 minutes unless specified)
Please check one:
Resume and Cover Letter
Interviewing and Job Search
Graduate School Exploration
Exploring Majors
Please indicate here any additional requests you may have here: •Tailored Topic •Request for Specific Staff Member •Other:
