Writing in the Disciplines

Workshop Request Form

Thank you for completing this online form. If you're not sure whether the Workshop Program can serve your needs, please take a look at the Workshops page. To request a workshop or consultation, fill out the applicable fields and click on "Submit Request." This will automatically e-mail your request to the workshop team, and you should receive a phone call / e-mail confirmation within a day or two, so that details can be hammered out.

1. Contact Information:

Your Name:

Department / Program:

E-mail address:

Phone:

2. What kind of workshop / presentation are you requesting?

Undergraduate guest lecture   

TA training workshop   

Consultation with instructor   

Other (please describe):  

3. Logistical Details:
Preferred Date of Workshop:
  Please spell out (e.g., "Sep 25, 05")

Preferred Time of Day:

Classroom (if applicable):

Approximate number of participants:

Course Number / Title
(e.g., "ECS 15--Intro to Microcomputers" or "History TA Retreat"):

For workshops associated with specific undergraduate courses, it is important for us to know the following information:
Is this a G.E. (General Education) course?
Yes      No 
Is this a Writing Intensive course?
Yes      No 
4. Other information:


The Workshop Program has files of materials it can provide, but in the interests of tailoring our presentations more precisely to your needs, we ask whether you could make available any or all of the following items, as appropriate:
Grading criteria   

Written assignments or paper guidelines   

Sample papers, good and otherwise   

If you have additional thoughts about the workshop and the ways we can best meet your needs, please use the space below, or call one of the workshop specialists.
 

Please press the SUBMIT REQUEST button to send us your request. Press "CLEAR FORM" to erase all of your request before leaving the computer.

Thank you for using the Writing in the Disciplines workshop program, and we look forward to a successful collaboration with you. If you encounter problems with this form, please do not hesitate to call John Stenzel, 2-1954, as we are still working the kinks out of this technology.
Last updated: December 12, 2005