Request a Workshop

Please complete the form, and allow five business days to receive a confirmation for your request. If you have any questions, please contact the Oriental Institute Public Education Department at oi-education@uchicago.edu or call 773.702.9507.

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* 1. Contact's Full Name

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* 2. Job Title

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* 3. Organization/Group Name

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* 4. Email Address

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* 5. Phone Number

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* 6. Organization's Address (where the invoice should be mailed)

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* 7. City

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* 8. State

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* 9. Zip Code

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* 10. Types of Educators Who Will Participate (Check all that apply)

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* 11. Grades Taught (Check all that apply)

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* 12. Subject(s) Taught (Check all that apply)

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* 13. Number of Participants (minimum 10 people; maximum 50 people)

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* 14. Requested Start Date & Time (Must be at least 30 days from today's date)

Date
Time
Date
Time
Date
Time

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* 15. Length of Workshop

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* 16. For 3-Hour Workshop: Fee to be paid to the Oriental Institute (Check one appropriate to your group size)

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* 17. For 1.5-Hour Workshop: Fee to be paid to the Oriental Institute (Check one appropriate to your group size)

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* 18. Workshop Theme (Select one only)

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* 19. Additional Information or Special Accommodation

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* 20. Agreement to Pay for the Service: By requesting the Oriental Institute Educator Workshop, you represent to us that you have the intention and ability to pay the amount as selected in this form, and you agree to pay for all charges placed on your account as well as any service charges that may be due. The check will be mailed to or dropped off at the Oriental Institute to the attention of the Public Education Department at least two weeks prior to the program date. A failure to pay by the due date will result in an automatic cancellation of the program requested.

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