WRLC_GT Workshop Request

Please complete the information below. Requests for an in-class workshop must be submitted at least 14 workdays in advance of the desired date.

Faculty Information

First name *This question is required.

Last name *This question is required.

Campus phone *This question is required. This question requires a valid number format.

Alternate phone number

Email *This question is required. This question requires a valid email address.

Course Information

Course number *This question is required. Example: ENGL101

Please provide room# Example: PK177

Number of students *This question is required.

Workshop Information

Desired Date *This question is required.

mm/dd/yyyy

Alternative Date *This question is required.

mm/dd/yyyy

Additional Comments