Department of Student Life

NCBI Request A Workshop Form

Contact Person for this Presentation*
Date and Time of the Presentation*
Have You Reserved Space on Campus for this Presentation?*
If you do not have a reserved space we need at least 2 weeks to make reservations.
Include building name and room number.
Please describe the space in which the presentation is to occur.
Type of Participation*
(age, year in school, gender, ethnicity, etc.)
Tell us something about the history and purpose of the group
Context of the Presentation*
Will There be Additional Presenters?
Have There Been Recent Incidents We Should Consider or Refer to in Our Presentation?*
Contact Us

Department of Student Life
(973) 761-9076
Bishop Dougherty University Center Rm. 116

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