Presentation Request

If you are a high school counselor, please do not submit this form to request a presentation at your school. Please email Jessica Wiggins at jwiggins@westga.edu to schedule a presentation at your school.

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* 1. First & Last Name:

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* 2. UWG Email Address:

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* 3. College/School/Department/Organization Requesting the Presentation

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* 4. Course Title or Event Name:

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* 5. Location of Presentation (Building & Room Number):

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* 6. Will this location provide a computer and projector?

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* 7. Number of Attendees (please estimate):

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* 8. Date of Presentation (please provide up to 3 date preferences):

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* 9. Start & End Time of Presentation (HH:MM - HH:MM, AM/PM)

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* 10. Presentation Topic (Each topic will take approximately 45 minutes)

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