Marvin Center Program Request
Information About Your Group
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
(000) 000-0000
What is the organization, group, department, or office?
*
Tell us about your organization so that we can provide a beneficial program that fits your audience
*
Session Logistics
Program Date/Time
Start Date
*
-
Month
-
Day
Year
Date Picker Icon
Start Time
*
Hour Minutes
AM
PM
AM/PM Option
End Date
*
-
Month
-
Day
Year
Date Picker Icon
End Time
*
Hour Minutes
AM
PM
AM/PM Option
Alternative Date/Time
Start Date
-
Month
-
Day
Year
Date Picker Icon
Start Time
Hour Minutes
AM
PM
AM/PM Option
End Date
-
Month
-
Day
Year
Date Picker Icon
End Time
Hour Minutes
AM
PM
AM/PM Option
Program Length (Approximately how long do you want us to facilitate an experience)
*
Attendance
*
Audience
*
Location
*
Budget
Program Content
Please provide us with information about the type of program you would like to request
Purpose of Request
*
Goals
*
Program Topics
*
Inclusion: Creating broad and safe environments that engage and support diversity.
Purpose: Understanding personal and organizational values and establishing a sense of purpose that contributes to the development of others.
Integrity: Acting in an ethical and legal manner that is harmonious with personal and organizational values.
Group Development: The ability to manage and lead individuals in the establishment and execution of group goals.
Global Citizenship: Versatility in leadership and communication style that is
Personal Growth: Being aware of yourself and continuing to grow as an individual.
Organizational Logistics & Development: Managing a group or organization requires specific skills to help recruit, manage, motivate, train, and asse
Other
Program Type
*
Single Workshop
Series of Workshops
Retreat
Session(s) at a Conference
Session(s) at a Retreat
Training Session
Co-sponsored event for Campus
1:1 Session
Other
Ideas
Submit
Should be Empty: