Program Request Form
Please let us know your presentation needs. Room, set-up, and any AV needed for the presentation is the responsibility of the requesting department/organization.
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Email *
Email address *
First & Last Name *
Department/Organization *
Phone *
Presentation Topic *
Department /Major (if applicable)
Date and Time Requested *
Alternate Date and Time
Class Number - Include Subject, Course Number & Section (e.g. ENGL 312 019 )
Desired Length of Presentation *
Presentation Location (building and room number)  *
Expected number in attendance
Audience (who will be attending?)
Who would you like to facilitate the presentation? *
Please allow a minimum of 2 weeks for a CPD presenter and 4-6 weeks for an Employer/Recruiter or PSU/A Alumnus/ae presenter.
Additional comments?
Submit
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