CAPS Event/Presentation Request

Your Name

Department/Organization

Phone Number

Email

Type of Request/Presentation Topic

First Date Choice

Start Time (with first date choice)

End Time (with first date choice)

Second Date Choice

Start Time (with second date choice)

End Time (with second date choice)

Audience (club, class, etc.)

Expected Number of Participants

Location of Event/Presentation

A/V Equipment Available

Additional Comments