Workshop Request Form
The UCSC Career Center provides workshops by request in career related professional development. Submit your request 3 weeks in advance to increase your chances of securing a speaker. PLEASE READ THE FOLLOWING BEFORE COMPLETING THE FORM. Thank you

• Workshops by Career Center Team are available Monday –Thursday, until 7:00 pm (last start time 6pm) with a minimum attendance of 12.
• Workshops range from 45 min. – 1 hour
• Requests are handled on a first-come, first-served basis

Request Agreement
- I agree that it is my responsibility to secure the room and A/V equipment necessary for the presentation.
- I agree that it is my responsibility to market the event and ensure at least 12 people attend the workshop.
- I understand that if I fail to provide either item listed above my organization/dept. will no longer be eligible to submit workshop requests for the remainder of the academic year.
- We understand we can only request one workshop per quarter.

If you have any questions please contact Sheila Rodriguez at sheilar@ucsc.edu.

Name of your organization *
Your answer
Contact person for organization *
Please give a name, email, and phone number
Your answer
Please select the type of workshop being requested *
What is the preferred date for this event? *
MM
/
DD
/
YYYY
What is the preferred back up date? *
*In case your first choice is not available
MM
/
DD
/
YYYY
What is the preferred time for this event? *
Workshops range from 45 minutes to 1 hour
Time
:
Do you already have a room reserved for this workshop? *
Student organizations need to request a room through SOAR
If you answered yes, what location is reserved? *
Your answer
I agree to ensure that 12 or more students are attending the presentation. How many are you expecting? *
Your answer
How do you plan on conducting outreach for this event? *
Your answer
Any additional notes regarding this workshop?
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of UC Santa Cruz. Report Abuse - Terms of Service - Additional Terms