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Division of Academic and Student Affairs 
Office of Student Conduct

Presentation Request

Presentation Request

This form is used to request a presentation by the Office of Student Conduct
Name(Required)

TOPIC

Which of the following topics would you like this presentation to address?(Required)

DATE, TIME, LOCATION

(NOTE: If you are requesting multiple dates, please contact the Office of Student Conduct at 919-515-2963 for further assistance.)
MM slash DD slash YYYY

 

Requested Time of Presentation(Required)
(NOTE: If you are requesting multiple presentation times for the same date, please contact the Office of Student Conduct at 919-515-2963 for further assistance.)
:
Requested Length of Presentation(Required)
(NOTE: Most presentations are designed to last approximately 45 minutes.)

 

(Please include building and room number.)

 

Is this location a smart classroom?
(i.e. computer and projector?)

AUDIENCE AND OTHER NOTES

Core Audience for Requested Presentation(Required)

This field is for validation purposes and should be left unchanged.