Center for Student Success Workshop or Class Visit Request Form
Center for Student Success provides workshops and presentations to the CNU community. Workshops are generally 30 minutes - 1 hour long and the group requesting the presentation will need to provide the space and technical equipment, if required. Class visits can be as brief or long as desired. Please refer to the list of available topics below, or note your suggested topic on the form. We will follow up on your request via email within three (3) business days. **Please make sure all requests are submitted at least one week prior to the actual event to allow for proper staffing and preparation. We look forward to the opportunity to present to your class or group! 
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Email address *
Contact Phone Number *
Preferred class/workshop date *
MM
/
DD
/
YYYY
Preferred class/workshop time *
Time
:
If you are available at other dates/times or have additional course sections, please list below:
Type of Organization *
If you selected 'Other', please list your type of group
What topics would you like the workshop to include? (Select all that apply) *
Required
If you checked "don't know" or "other" above - give us a brief idea of your goal or reason for requesting an Student Success workshop.
Length of time for workshop *
Anticipated attendance from your group *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Christopher Newport University.

Does this form look suspicious? Report

Google Forms