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Presentation Request Form

To request a presentation from the staff at Disability Services, please complete the form below, and click the submit button at the bottom of the page.  We will review your request and follow-up with you if additional information is needed before the request is assigned to a specific staff member.  Please allow at least 2 weeks notice when making a request (note: panel requests may need more lead time to allow us to contact and confirm panelists).

For specific questions about the presentation request process or potential presentation topics, please contact

Estimated number of attendees/participants
First Choice Date & Time
Second Choice Date & Time
Please list specific request details (purpose, goals, location).
Please indicate if you are aware of any potential accommodation needs of your participants (interpreter, large print, etc.)