POWER Presentation Request Form

Current POWER Program Request Form
Complete

First

Last

Contact Phone

Contact Email

Organization, Group, Res Hall, Class, Etc. Name

Presentation Location (Learning Bar sessions take place at the back of the Hilary J. Boone Center, located at 500 Rose St., which is across from the Chem-Phys building)

Date and Time Requested

If your preferred date is not available, please list up to 3 alternative dates and times.

Presentation Topic

Please provide additional information that will be helpful with your request.

Please provide information on requested accommodations, if any.

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