KAMP Workshop Request Form
Email address *
Your name *
Your answer
Group/organization *
Your answer
Title
Your answer
Phone number *
Your answer
Event type *
Event date *
MM
/
DD
/
YYYY
Event topic or theme *
Please briefly describe the topic or theme of the event.
Your answer
Start time *
Time
:
End time *
Time
:
Location *
Your answer
Number of expected participants/attendees *
Note: We require at least 10 workshop participants.
Participant levels of education *
Desired learning outcomes or objectives *
Please describe your group's desired learning outcomes or objectives for this community workshop. Include any important details and preferences that will be helpful toward our curriculum development and class management.
Your answer
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