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 Indicates Required Field
 
Please fill out the form completely to make your request.
 
First Name
 
 
Last Name
 
 
Faculty/Unit/Department
 
 
Phone number/extension
 
 
Email address
 
Note: A copy of this form will be emailed to this address upon completion.
Send me this email as HTML instead of plain text.
 
Date and time for presentation/workshop
 
mm/dd/yyyy
 Calendar  
 
 
Alternate date and time from above for presentation/workshop
 
mm/dd/yyyy
 Calendar  
 
Desired length/duration of presentation/workshop
 
 
Location (campus/building/room)
 
 
 
Is this a request for a series of the same presentations/workshops? If so, please provide other details here, such as additional dates, times, etc.
 
 
 
Is this an in class presentation? If so, please provide course name and number.
 
 
Most of our presentations/workshops require a laptop and projector.
Will you be providing:
 
YesNo
Laptop
Projector
 
Topics:
 


 
Audience:
 


 
Format:
 


 
Number of attendees (approx.)
 
 
 
Other comments
 
 

Thank you for making this request.  Our office will advise you of our availability.  If you have any further questions, please contact us directly.

Student Advocacy
Room 520 University Centre
The University of Manitoba
Tel:  474-7423
Fax:  474-7567
Email:  student_advocacy@umanitoba.ca
Website address:  http://umanitoba.ca/student/advocacy