Custom Programming Request Workflow

Custom Programming Request

After you submit this request, a member of our team will be in touch to discuss your request in more detail. Thank you.

Contact Name*

First Name

Last Name

Role/Title*

College*

If you chose "Other", please specify

KSU Email*

Topic

Description of Request*

Provide a short summary of what you would like to address during the meeting.

Affiliated Initiatives

For example: It's About Engagement (QEP), President's Focused Learners (PFL), etc.

Proposed Location*

If you chose "Other", please specify:

Proposed Length of Event*

Disclaimer: It is recommended to prepare for a minimum of 1 hour.

Number of Faculty Expected*

Proposed Date(s) of Event*

Please provide a few different options that would work best with your group's availability.

CST Facilitator*

Number of sessions*

Total time to plan session(s)*

Total length of session(s)*

Actual Program Date (Session 1)

Actual Program Date (Session 2)

Actual Program Date (Session 3)

Actual Program Date (Session 4)

Actual Program Date (Session 5)

Actual Program Date (Session 6)

Actual Program Date (Session 7)

Actual Program Date (Session 8)

Final workshop description*

Other notes