POGIL Workshop Request Form
Please use this form to request a POGIL workshop at your institution/organization. Once the form is received by the National Office, someone will get back to you within 72 hours.
Type of Workshop Requested *
Required
Event Start Date *
MM
/
DD
/
YYYY
Event End Date *
MM
/
DD
/
YYYY
Start Time (if known)
Time
:
End Time (if known)
Time
:
Location of Event (Institution and City, State) *
Your answer
Target Audience for Event *
Your answer
Anticipated Number of Participants
Your answer
Description of Event *
Your answer
Requester Name *
Your answer
Requester Phone Number *
Your answer
Requester Email *
Your answer
Additional questions/comments
Your answer
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