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Program Request Form

Academic Resource Center Program Request Form

The Academic Resource Center is happy to work with student groups to provide comprehensive and interactive academic related programming for their organizations or in their residences. Please fill out the following form and an ARC team member will be in touch to talk about availability and work out any additional details. Please submit all requests at least one week in advance so that we may arrange for presenters.

Organization Making Request: Type of Organization:

Contact Person Information

Contact Name: Email: Phone Number:

Program Proposal Information

Please choose from one of our current programs. If you are unsure, please check "other" and leave a description of what you are type of program you are requesting. Other

Is this a repeat program that has been offered in the past? Yes No

What is the proposed time of the program? Where is the program to be held? What is the ideal length of the program? What is the maximum # of attendees? What is the expected # of attendees? Do you have attendance incentives? (This could include food, prizes, giveaways etc.) How are you advertising the program?

Would you prefer that this program be presented by: Professional Advisor(s) Peer Academic Coach Professional Advisor(s) AND Peer Academic Coach Any staff member(s) available

Organization Advisor or Supervisor's Name

Additional Information

Is there anything else you would like to let us know? Type in the following two words

Program Request Form

Academic Resource Center Program Request Form

Contact Person Information

Program Proposal Information

Additional Information

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