NCBI Workshop Request

Contact Information

Client Name: (required)

Client Email: (required)

Client Phone: (required)

Department:

Event Infomation

Proposed Dates for Workshop (availability):

Purpose of Request: (required)

Audience (Define your students. Example: 15 Freshmen, 3 Sophomores, All RAs):

Number of Students:

Optimal Time Frame (check one)::

Half Day

Full Day

Optimal Time Start:

A half day is typically 4.5 hours and a full day is typically 6.5 hours plus breaks.