Peer Education Workshop Request Form 2015-16
Hello!

Thank you for your interest in a Women's Resources and Research Center Peer Education Program workshop.

Please fill out this form at least two (2) weeks before your workshop.

We will be in contact with you at least 3 days after you submit your request.

Please have a projector, projector screen, and the seats in a circle 30 minutes prior to the presentation.

If you have any questions, please contact wrrc@ucdavis.edu

Thanks!
Google에 로그인하여 진행상황을 저장하세요. 자세히 알아보기
What is your name? *
What is your e-mail address? *
What department or organization are you requesting a workshop for? *
Who will be attending this workshop? *
ex. students, staff, faculty.
필수
How many people do you expect to attend this workshop? *
What is the date and time of your workshop? *
Please plan at least 2 weeks from form submission date.
YYYY
/
MM
/
DD
시간
:
What is the location of your workshop? *
Which workshop(s) would you like to request? *
Workshops are 60 minutes each. You may request a distinct workshop topic.
필수
Are there any accommodations needed for this presentation? If so, please describe. *
ex. large print text, closed captioning, etc.
필수
제출
양식 지우기
Google Forms를 통해 비밀번호를 제출하지 마세요.
이 콘텐츠는 Google이 만들거나 승인하지 않았습니다. 악용사례 신고 - 서비스 약관 - 개인정보처리방침
Google 설문지