Adult Literacy @ NPL Workshop Request Form
Use this form to request a workshop from Adult Literacy @ NPL; there will be space to indicate whether you would like us to bring the Mobile Lab* for hands-on practice. Please fill out as much information as possible to help us better serve you!

Note: If this request is for multiple dates, please populate the first date in the initial drop-down menu, and add additional dates/recurrences in the note space provided.

*The Mobile Lab includes 10 laptop computers, power cords, mice, extension cords, wi-fi hotspot, and optional headphones.

Your name: *
Your answer
Your organization: *
Your answer
Your email address: *
Your answer
Your phone number: *
Your answer
When would you like us to present? *
MM
/
DD
/
YYYY
Time
:
How long would you like the workshop to last? *
Hrs
:
Min
:
Sec
Please list any additional dates or recurring sessions included in your request (i.e. Thursdays, 9-10 am, October 6th-27th):
Your answer
Where does your group meet? Please list the address and any other details such as room number or check-in procedure. *
Your answer
What workshop topics would you like us to present? Check all the apply. *
Required
Describe the conversational English level of your students: *
Tell us more about your group:
Your answer
Would you like us to bring the Mobile Lab for hands-on practice? *
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