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Presentation Request

Please turn in your presentation request no later than the Monday two weeks before the event. This will increase the likelihood that we can meet your presentation request.

Topic:
Requested date of presentation:
Requested starting time of presentation:
Second choice of date:
Second choice of time:
Requested length of presentation:
Name of class/group:
Number expected to attend: (need at least 10 participants)
Location:
Person making request:
Title/responsibility:
Office phone:
Home phone:
E-mail address:
Best time/way to contact you:
Briefly describe the purpose of the presentation:
Briefly describe how this presentation will be advertised:
Other pertinent information:

Academic Success Center
Oregon State University, 102 Waldo Hall, Corvallis, OR 97331 · 541-737-2272
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