You may list more than one contact. Each person mentioned will get correspondence in regards to the event. Please separate by semicolon and specify the title of each person.
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Email(s) *
If more than one person, please separate by semicolon.
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Phone Number(s) *
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Request Date of Visitation *
Please note that due to limited space available for each presentation, date selections are on a first come, first serve basis. ***UPTDATE: the June 30, 2020 presentation is full.***
Number of Students Attending *
Enter numerical value. Please estimate if you do not know the number of students at this time.
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Number of Faculty/Staff *
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Comments/Questions
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