Workshop and Presentation Application

Spring Presentation/Workshop rEQUEST fORM

Presentation/Workshop Topic

Name of Organization, Group, or School Requesting

Is this a Government Organization?

Yes No

Event Title (if applicable)

Requested Date(s)

Estimated Attendance

Estimated Age Range of Audience

Full Name of Person(s) Submitting Application

Job Title

Email Address

Phone Number

Additional Information

Press Packet/Promotional Documents

* Disclaimer: Limited time and resources restrict us from approving all applicants. We reserve the right to deny an application without explanation or further consideration. Thank you. – FSI Team