CAPS Outreach Request Form
Please fill out the following request form at least 2 weeks prior to your program or event
Name (first & last) *
Your answer
Phone number *
Your answer
Email *
Your answer
Date/time/location of your request (please keep in mind that we kindly request a 2 week notice) *
Your answer
What type of outreach are you requesting? *
Please describe your request *
Your answer
Are you affiliated with UCSB? *
If yes, what is your department or student org?
Your answer
Who is the audience for this request? *
What is your expected attendance? *
Your answer
Submit
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