Workshop Request Form
Phone number (xxx-xxx-xxxx)
What is your role on campus?
Type of request
UCC representative to table at an event
Select topic (If it is an event table request, choose "event table"):
Overview of UCC Services
Careers for Specific Majors
Academics to Career - Making the Connection
How to Attend a Career Fair
Social Media/Online Networking
Navigating Networking Events
Finding Part-time Jobs
Other (customized): I will contact Wendy Shoemaker to discuss (
Date of workshop:
Time of workshop
Length of workshop (typically 45-60 minutes):
If this request is for a course, please type the course number and name:
Estimated number of attendees (total):
To help us prepare, list estimated number of students by year in school or indicate if audience is staff/faculty/etc. (Eg. 10 freshman and 15 sophomores or 17 KU staff members):
Please describe the academic focus (major) of students in your group. If majors, vary, please indicate this:
What equipment/technology is available in the room in which the workshop will take place
How do you plan to advertise this workshop to your audience?
Announcement in class/syllabus
Announcement in student organization meeting
What do you hope students will learn as a result of this workshop?
Are you a robot?
Type the characters you see above (no spaces):
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