University of Maryland Counseling Center

LAS Workshop Request

Please use the following form to request a presentation for your class/organization, handouts are available in LAS (Suite 3125 South Campus Dining Hall). You can also request orginals and make copies for your participants.

*Required Field

Name: *
E-mail address: *
Phone number: *
Name of Course/Group: *
Please select one of the these topics: *
Other Topic:
Minutes allowed for presentation: *
What, if anything, should be emphasized?:
What will be the majority of classification(s) and major(s) of audience?
Meeting Time: *
Preferred Date (mm/dd/yy): *
Alternate Date (mm/dd/yy): *
Expected Attendance: *
Location of room:
Comments: