Outreach Form

Contact Information

First Name

Last Name

Status

Faculty Advisor/Residence Hall Director Name

Faculty Advisor/Residence Hall Director Phone Number

Faculty Advisor/Residence Hall Director Email

Department or Organization

Contact Phone Number

Phone number must be for someone who will be present at the event.

Event Information

Type of Event

Number of Expected Participants

Date of Expected Event

mm/dd/yyyy

Alternative Presentation/Event Date

Location of Event

Building and Room Number

All in-person events that are not classroom presentations will be hosted in the Study Skills Center in the Sid Richardson Building. Available throughout the semester, Monday-Thursday, 11a-7p.

Please Indicate the platform

Zoom, Teams, etc.

Time of Event

Presentation Topic

All presentations are about 30-45 minutes long. Flyers or promotional items will be shared at every event.

Presentation Topic Other

Description of Event

Are Other Campus Departments Involved

List Other Departments

Outreach Form

Status message

Paul L. Foster Success Center