SuccessWorks Workshop Request Form
Please fill out this form if your academic course, learning community, residence hall, student organization, etc. would like to organize a workshop with SuccessWorks at the College of Letters & Science as the workshop presenter.

Requirements:
- We need a minimum of 2 weeks notice of your request to assure that we have staff available and proper preparation time.

- The majority of students participating must be in the College of Letters and Science (qualifying majors here: http://ls.wisc.edu/areas-of-study ). This includes pre-majors and those still exploring L&S majors.

- Minimum number of students required in attendance:
Weekday business hours (ends by 5:00 pm) = a guarantee of a minimum of 10 students
Weeknight (start time between 5:00 - 7:00 pm) = a guarantee of a minimum of 20 students
Weekend = a guarantee of a minimum of 40 students

5 factors we use to evaluate when making our decision:
- timing within the semester (right around the career fair we get a lot of requests)
- if it's in line with our career & internship communities (government/politics/policy, nonprofit management/education, healthcare/wellness, environment/natural resources/wildlife, scientific product development & research)
- if your group is affiliated with L&S
- if we have worked with you in the past and there was great student attendance
- if we have staff available

Name of your group: *
Your answer
Workshop Topic(s): *
(Can choose more than one).
Required
Location of your group (where workshop would take place): *
Your answer
Date of workshop: 1st Choice *
MM
/
DD
Time of Workshop: 1st Choice *
Time
:
Length of Workshop: 1st Choice *
Hrs
:
Min
:
Sec
Date of workshop: 2nd Choice
MM
/
DD
Time of Workshop: 2nd Choice
Time
:
Length of Workshop: 2nd Choice
Hrs
:
Min
:
Sec
Does your space allow us access to... *
Required
Have you requested a workshop from us before? *
If yes, had your previous request been denied? If so, why?
Your answer
Have you requested this type of workshop from other offices?
If yes, which one(s)?
Your answer
How will you be promoting this workshop? *
Your answer
Expected number in attendance: *
Your answer
Is your group required to attend? *
The majority of the students are in L&S *
The majority of the students will be *
Contact name: *
Your answer
Contact email address: *
Your answer
By checking the box below, I confirm that I *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of UW-Madison Google Apps. Report Abuse - Terms of Service - Additional Terms