Writing Center In-Class Workshop Request

Professor's Name * First Last
Phone * - (###) - ### ####
Email *
Class (Dept/Course#) *
Class Size *
Class Location (Bldg/Room #) *
Technology Available (check all that apply) * Computer Screen Projector
Other:
Will the students have their own writing to work on? * YES NO
Desired Date * / MM / DD YYYY
2nd Choice Date * / MM / DD YYYY
Desired Time * : HH MM AM/PM
Approximate length of workshop
Workshop Topic(s) *
Describe "other" topic here
Notes