Request a Workshop
Requester Information
Your Name
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Email
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Contact Phone
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Department or Organization
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Workshop Information
Goals
Please tell us more about why you are requesting this workshop - the content you would like us to be sure to discuss, particular exercises that you would like us to include, etc.
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Context
Please tell us a bit about your organization
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Preferred Date
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DD
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YYYY
Back-Up Date
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DD
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YYYY
Time
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Location
Please include the address, if you have one
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Anticipated Number of Participants
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Additional Comments
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