Learning Centre Class Presentation Request

Please complete the form below to request a class presentation from a professional at the Learning Centre.

Instructor

Name*

First Last

E-mail address*

Course Information

Course Name*

Department*

Number of Sections*

One section
Two sections
Three sections
Four sections

Select the number of sections to request multiple instruction sessions.

1st Section

Date of the presentation (yyyy/mm/dd)*

Room Number

Start Time*

:

End Time*

:

No. of Students*

2nd Section

Date (yyyy/mm/dd) - 2nd section*

Room No. - 2nd section

Start Time - 2nd section*

:

End Time - 2nd section*

:

No. of Students - 2nd section*

3rd Section

Date (yyyy/mm/dd) - 3rd section*

Room No. - 3rd section

Start Time - 3rd section*

:

End Time - 3rd section*

:

No. of Students - 3rd section*

4th Section

Date (yyyy/mm/dd) - 4th section*

Room No. - 4th section

Start Time - 4th section*

:

End Time - 4th section*

:

No. of Students - 4th section*

Academic Skills Session Details

Please let us know what type of session you want to schedule.

Type of Session*

If Other, please specify

Please identify any themes/subjects being examined in your course to help us tailor our presentation.

Other Comments/Requests

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