Workshop Request Form

To request a workshop, please fill out and submit the form below. Workshop requests must be submitted at least two weeks in advance of your desired program date. You will be contacted shortly regarding your request.

Your Information:
Name:
Phone: Email:
Organization:


Workshop Content:
Workshop (please choose one)
Introduction to CAPS
Reception/Table at Fair
Panel
Other, please specify:

Suggested Title:

Brief Description:

 





Workshop Specifics:

Preferred Date: (mm/dd/yy)      Day of the Week: (Mon, Tues, Wed...)
Start Time: (3 pm)   End Time: (3 pm) 
Location for Workshop:
Expected Attendance:

Additional Comments: