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Program Request Form

This form will be sent directly to the Assistant Director for Programs with Campus Recreation. Requests must be submitted two weeks prior to desired program start date. Requests made within the two week time period may not be available.
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First Name
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Last Name
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Email
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Telephone
  
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Is this request for a student organization or residence hall/floor?
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Account or fund number to be billed (if there is a charge).
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Which of the following programs are you interested in having Campus Rec assist you with? Programs are typically one hour in length.
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Please estimate the number of students attending this program.
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What is your preferred date for the program?
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What time do you want the program to start?
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Just in case we can't do the workshop on your first choice, give us an alternate date for the program.
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What building and room number will you be meeting in? If location is undetermined at this time use TBD.
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What technology is available in this space?
*Security Code:
Please allow 2 business days for a return email response in regards to your request.