Presentation Request Form

Today’s date:
   
First Name:
   
Last Name:
   
Title:
   
Department:
   
Please list the course titles for which you would like a ROC presentation. (If you’re requesting a presentation for a venue outside of a class at UCCS, please indicate that here).
   
Date, time and time length of the requested presentation(s):
   
Topic requested:
   
Special requests, i.e., exercises, simulations, media, or particular themes that you would like included in the presentation:
   
Additional Comments:
   

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