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COPE Programming Request Form

First name

 

Last name

 

Campus position:

 

Building

 

Phone

 

Email

 

Presentation Information

Presentation topic

 

 

Primary presentation goals

 

 

What space do you anticipate having for this event? (e.g., classroom, library, large hall, etc.)

 

 

Number of expected attendants

 

Presentation length (minutes)

 
     

 

Audience (e.g, first-year students, seniors, faculty, student orgs., teams, community members, etc.)

 

 

   

 

 

Please select a time and date. Providing a primary and secondary choice along with making your request in advance (i.e., at least 2-3 weeks or more) makes it more likely that we will be able to accommodate your request.

 

Primary Date and Time Options

Start time

 

Start time

 

AM

PM

Day

 

Date

 
 

Secondary Date and Time Options

Start time

 

Start time

 

AM

PM

Day

 

Date

 

 

Questions or comments: