Presentation Request Form

Presentation Request Form

Presentation Request Form

Contact Information


Name:    Today's date: 
Phone:    Email: 
Name of organization/class: 

Engagement Details


Date requested for presentation:    Time: 
Location: 
Event/course name:    Anticipated audience size: 
Description of event/course:

Is your request for:

Please check all requests.

Note Taking (30 minutes)

MAP-Works (15 minutes)

Stress Management (30 minutes)

Goal Setting (30 minutes).

Class Etiquette (30 minutes)

Time Management (30 minutes)

College Success Tips (30 minutes)

OSAS Overview (15 minutes)


Are there any specific topics you would like us to address?
Are there any special accommodations that your group will need? Please explain.

Is the room equipped with a computer and a projector?    

For classroom presentations


If this is a classroom presentation, please answer the following:
Will related material be covered in this class prior to the speaking engagement?   

If so, briefly describe:

Will the class be informed in advance of the topic(s) of the speaking engagement?