Request a Presentation

I am requesting a(n) *

Interactive Workshop
Film Screening

Workshop *

Film *

We typically facilitate a 20 minute discussion following film screenings. Abridged screenings and discussions can be available for 75 minute courses when requests are made at least one month in advance.

Please tell us more about the topic you are interested in.

*We require a one month lead time for all workshops when new content will be created.

Your Name *

First Last

Phone

Email *

I am requesting this workshop/film screening for a *

Class Name:

Campus Department Name:

Name of Sorority/Fraternity:

If your workshop request is approved, the Gender Equity Center will reserve the room and notify you of the location upon confirmation from Event Services.

Name of Group:

Statement of Understanding *

By selecting the box below, I understand that the Gender Equity Center asks for a two week lead time for all standard workshops and full length film screenings. We require a one month lead time for abridged film screenings and custom workshops with new content. We accommodate requests Monday - Friday, starting no earlier than 8 a.m. and ending no later than 8 p.m.

I understand these requirements.

LOGISTICS

Please identify at least two dates, Monday - Friday, that will work for your group. This helps us coordinate staffing with the high volume of requests we receive. *

Option 1

Date Option 2 *

Option 2

We are unable to facilitate our workshops in anything under 75 minutes. Please choose your preferred format below. *

75 minutes
90 minutes

How much time do you wish to allocate for this program?

Preventing Burnout is facilitated in a 60 minute format. Please select a time slot below. If you would like us to allocate more time for this workshop, please skip below to the next question.

*If you would like us to allocate more time for this workshop, please skip below to the next question.

If you are requesting a Preventing Burnout workshop for longer than 60 minutes, please indicate start time and how much time you wish to allocate for the workshop.

Please select your desired 75 minute time slot below:

Please select your desired 90 minute time slot blow:

Supporting the LGBTQIA+ Community is only available in a 90 minute format. Please select your desired time slot blow:

Please select a start time. *

:

AM/PM

What time may we have access to the room for set-up?

:

AM/PM

What time does the class/meeting end?

:

AM/PM

How much time do you wish to allocate for the Gender Equity Center Overview?

Do you need an abridged screening of the film and discussion for your group?

Yes
No. Time allows for the full length of the film and 20 minute discussion following the screening.

Please let us know how much time you wish to allocate for the film screening and discussion. Please allow a one month lead time for this request as we prepare to abridge the film in order to still provide meaningful content.

Please select the time for the screening to begin. *

:

AM/PM

What time does the class/meeting end? *

:

AM/PM

How much time might you need for announcements prior to the start of the workshop?

How much time might you need for announcements prior to the start of the film?

Building and room number:

When does the next meeting or class begin in the space?

Please select the items you are able to provide.

Computer
Projector
Screen
Sound

What does the seating look like in the space?

Does the space allow for people to move around freely?

Yes
No

ABOUT THE AUDIENCE

How many participants will be attending?

Please tell us about the participants/audience.

Are the participants required to attend?

Yes
No

What accommodations are needed?

How is this program relevant to your audience?

Please list any key points that you wish to be discussed during this program.

Is there anything else you would like to share?