Request a Writing Center Presentation

Today's Date:
Date Format: MM slash DD slash YYYY
Contact Name:
Email Address:
Department/Organization:
Course Number:
Course/Event Title:
Location of class/event:
Time (days and hours of class/event):
Expected Enrollment/Attendance:
Level (select all that apply):
Type(s) of Writing Assignments:
Length of Paper(s):
Date(s) Due:
How would you like us to contact you to arrange our visit to your class?
- Phone
- Email
Phone Number & Best Times to Call:
I'm interested in having a Writing Center instructor:
Please read the descriptions of our types of Outreach instruction before selecting Writing Center Outreach page.
- Make a brief presentation about the Center's services
- Co-teach, with me, a brief session to prepare students to write in my course
- Teach a lesson about writing at my (non-timetable course) event
- Not sure
Have you had Writing Center presentations before?
- Yes
- No
What range of dates were you considering for this Writing Center presentation?
Please add any additional information regarding this request.
Name
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