Classroom Support

First Name*

Last Name*

Email Address*

Division*

Discipline*

Course Title*

Course Number*

Section Number *If presentation is needed for multiple sections, please include additional section numbers in comment box below.

Desired Topic *

Requested Date of Class Presentation
Please provide 3 Date/Time options in your preferred order (for multiple sections, include day/time preferences in comment box below)

Requested Date of Class Presentation 1

Requested Date of Class Presentation 2

Requested Date of Class Presentation 3

Number of students currently enrolled in the class *

Location and Room number*

Is this presentation related to an assignment? *

Yes

No

If yes to an assignment, does it require additional services provided by a Career Specialist? Examples of partnered assignments include resume appointments, resume electronic reviews, mock interviews. (We will do our best to accommodate all assignment requests, but cannot make guarantees based on office capacity. Partnered assignments with Career Services are not confirmed until form is complete and discussed with a Career Specialist.)

If yes to an assignment, does this assignment require an appointment with a Career Specialist or Electronic Review performed by a Career Specialist? *

Yes

No

Comments/Special Requests:

Do you have a preferred Career Services Center staff member? (This request will be considered by cannot be guaranteed based on scheduling and availability)

No Preference

Alex Mann

Pierre Michiels

Rebecca Rivers

Melissa Schertz

Krystina LaSorsa

Presentation topics include the following

Classroom Presentation Request Form

Contact Information