Career Services
Presentation Request & Attendance Form

Date of request taken: _____________	Request taken by: __________________

Name of person making request: _______________________________________

Phone number: ____________________	E-Mail: ____________________________

Department/Organization Name: _______________________________________

Class name: ___________________________________	Course #: ______________

Building/Location (including Room #): _____________________________	______

Presentation topic: _____________________________________________________

Anticipated # in attendance: ______	Anticipated length of time: _________

Date/time requested: 
(Please allow one week advance notice and select at least two choices)

	1st Choice: ____________________________________________

	2nd Choice: ____________________________________________

	3rd Choice: ____________________________________________

□  Confirm presentation date/time and location with the person making the request. 

To be completed by Career Services staff.

Presentation assigned to: _______________________________________________

Additional comments from conversation: ________________________________
________________________________________________________________________
________________________________________________________________________

Actual # in attendance: ____________________Date completed: ___________