CAPS Outreach Request Form
NOTE: Requests must be submitted at least TWO WEEKS prior to your requested date!
Department, Campus Office or Organization Name:
Location of Program:
Topic of Program You're Requesting:
Estimated Number of Attendees and Demographics (Gender, Year, Racial/Ethnic, etc.):
What are your goals for this program? What information do you want the audience to learn? (Please be as SPECIFIC as possible):
Why does your Department/Office/Organization want to learn about this topic?
List first choice date, start & end time:
List second choice date, start & end time.
Do Not Fill This Out