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Department Workshop Request

Planning a WorkLife Workshop for Your Department

Please complete the information below.

Requester Information
On-Site Contact (if different from requester)
Event Information
Describe the event. Include any specifics you could not complete above. (If you do not have a specific date please list preferred month(s), day(s) of the week and time of day.)
Event Details
Who is attending?*
Type of Event*
Topics of Interest
Please note that some workshops may have an honorarium or fee and that your department is responsible for paying the speaker directly.