COLLEGE WORKSHOP REQUEST CONTACT INFORMATION Contact Name * First Name Last Name Contact Title * Contact Email Address * Contact Phone * (###) ### #### COMPANY/ORGANIZATION INFORMATION School/Company/Organization Name Department Organization Address * Address 1 Address 2 City State/Province Zip/Postal Code Country SIGNATURE WORKSHOPS Type of Event * In-Person Experience Virtual Experience Training Budget * Under $1,000 $1,000 - $2,500 $2,500 - $5,000 $5,000 - $10,000 $10,000 - $20,000 Above $20,000 College Leader Workshop Series Which workshop series would you or your organization like to host? Course 101 - [The Emerging Leaders Series] - Leadership Development Track Course 201 - [The Growing Leaders Series] - Personal Development Track Course 301 - [The Turning Pro Series] - Professional Development Track Create Your Own Experience Individual Workshops Which workshop would you or your organization like to host? Lead Well - Foundational Leadership & Personal Growth Real Talk - Conflict Resolution & Critical Conversations Stay Healthy - Healthy Relationships & Personal Boundaries Make It Happen - Goal setting & Personal Organization Always Authentic - Personal Values & Social Responsibility Keep It Fresh - Managing Anxiety & Burnout Culture & Community - Developing Cultural Competency Say What You Mean - Communication The Art of Failure - Overcoming Obstacles Boss Up - Entrepreneurship The Daily Grind - Time Management Turning Pro - Starting and Sustaining New Careers Customized Workshop Experience Are you interested in a customized workshop experience? Please provide your learning outcomes. ACCOMMODATIONS Workshop Location * Workshop Location Address * DATES / TIMES Proposed Workshop Date * MM DD YYYY Proposed Start Time * Hour Minute Second AM PM ADDITIONAL INFORMATION Product Table | Promotional Material * May we set up a promotional/product table at your event? Yes No Video Recording | Photography * Are we allowed to take pictures or record video images at your event? Yes No Additional Information If you have multiple dates and times for your event please add that information here. After you click "SUBMIT," you will be redirected to our next steps page. Please follow the prompts to schedule a follow-up conversation regarding your request. Thank you. Here’s The Next Step.
