Presentation Request Form

Requests should be made at least two weeks prior to the date preferred for your presentation. Requests are granted on a first-come basis according to resource and staff availability. If multiple presentations are being requested, please submit a separate form for each request.
Contact Information
Faculty/Staff/Student Name
Course Title (If applicable)
Contact E-mail
Contact Phone (ex: 216-368-1234)
Presentation Details
Presentation Topic
Desired Date
Desired Time
Desired Length
Alternate Date
Alternate Time
Attendee Details
Number of Attendees (must guarantee at least 15 attendees)
Attendees' Majors
Attendees' Class Standings

Other Program Notes
Please let us know if you have the following AV equipment:
Please indicate any other information to help us better tailor the presentation to your group.