Campus Request for McBurney Center Training
The McBurney Disability Resource Center provides training to campus departments, units, faculty, staff, and student organizations on topics exploring disability and accessibility. Training could include disability awareness, identity and culture; accommodations and adaptive technology; and inclusion and universal design. Customized requests are also possible. Please complete this form to include as much information and provide at least three weeks notice. You will receive follow-up communication to discuss and confirm your request.      

For assistance completing this form, or if you have questions or need additional information, please contact the McBurney Center Training Team through Associate Director Kyle Charters at: kyle.charters@wisc.edu.
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Today's Date *
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Name of Requester, Title, Contact Information *
Name of Department/Unit/Student Org/Class Requester is in *
Please include information about what role the department or unit has, such as "Academic Advising" or "Instructional Staff" if it is not clear from the Department or Unit name.
Preferred Training Request Date (please allow three weeks advanced notice) *
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Time *
Time
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How long do McBurney staff have for this training? *
What is the training location? *
Who is the audience? *
How many attendees are expected? *
What type of training are you requesting? *
Required
Please provide any additional information for any requested customized trainings:
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