Thank you for thoroughly completing this form. The information you submit allows us to best tailor the presentation to your group. Professional staff and graduate students serve as presenters; specific staff requests are based on availability. Please request your presentation two weeks prior to the meeting date if at all possible.

You will be contacted within 3 business days regarding your presentation request. Please call 317-274-4856 with any questions. Thank you for your interest!
*Date Submitting Request (Today's Date):
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*Your Name:
IUPUI Department:
Non-IUPUI Organization Name:
*Phone:
*Email:
Course/Group Name:
*Is this a Learning Community class?

Meeting Days & Time:
*Location of presentation:
Please provide IUPUI building and room location for on-campus presentations.
*Please select a presentation from the list of available topics:
  
If you have already discussed this presentation with a staff member or have a presenter preference, please enter their name here. Requests for specific presenters will be honored whenever possible, subject to availability.
*Requested Date of Presentation:
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*Requested Time for Presentation:
*Alternate Date:
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*Alternate Time:
Is this presentation associated with a class assignment? If yes, please describe:
We can also tailor our workshops to fit the needs of your class. Please list any additional requests:
*The audience will consist of the following individuals:



  
*Size of Audience:
*Audience members include students enrolled in the following schools:
Please select all that apply. If not IUPUI students, please select "Not Applicable".