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Writing Center Request for Workshop Form

To give our staff a better idea of how we can help you, please give us the following information. After we have your information, a Writing Center staff member will follow up with you about your request. Please note: we prefer to have at least three week's notice for all workshops. The Writing Center cannot plan workshops less that one week in advance.

Today's Date: 
Contact Person Name:  Email: 
Department and Course:  Phone: 
Ideal Date for Workshop:  Two Alternate Dates: 
Workshop Focus:  Ideal Workshop Length: 
Class Time and Location:  Number of Students: 
What would you like your students to gain from your Writing Center workshop? What are your main concerns at this point?

Describe any class assignments that relate to the workshop. If available, paste the assignment in the box below.

Do your have a course web page and, if so, may we access it? Please provide a login and password if applicable.

Would you like to meet with someone from the Writing Center to discuss your assignment?  Yes No