Workshop Request Form

Page address: http://www.mnsu.edu/success/academicsupport/workshop/

First name:

Last name:

Email:

Phone Contact:

Group or Organization presentation is for:(i.e. Residence Hall & floor)

Workshop requested:

Center for Academic Success services presentation (5-10 minuntes)

basic study skills presentation (45 minutes)

writing skills presentation (times vary)

content specific presentation (times vary)

other:

Date of Workshop (MM/DD/YYYY):

Time of Workshop:

Location of Workshop:

Number of Attendees:

Additional comments:

Visual CAPTCHA

Please type in the letters you see.