Workshop Request Form

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Workshop Request Form

Thank you for your interest! To help us best process your request, please fill out this form. If several topics interest you and you are not sure which one to pick, check up to 3 topics. If you would like us to conduct more than one workshop, please fill out a form for each time requested.

Complete the Workshop Request Form

Contact Information

First Name:

Last Name:

Organization or class you teach:

Email:

Workshop Information

What workshop are you requesting:

Addressing ProcrastinationTime ManagementStress Management/Self-CareTest AnxietySocial AnxietyPerformance AnxietySleep HealthAsking for HelpMindfulnessSelf-CompassionLiving a Meaningful Life/ValuesCommunicating Effectively/Interpersonal EffectivenessChanging Your HabitsCareer Direction and ValuesReconsidering our Relationship to TechnologyExploring Social Identities/Marginalization, Privilege, and CopingStressors and Strategies for First Gen StudentsFinding A MentorOther

Workshop: Addressing Procrastination

Workshop:

Date:

Time: (Format example: 10:00a.m. - 10:50a.m.)

Please indicate if you would like the workshop to be in person, via zoom, or either?

ZoomIn-PersonEitherEdit this text

If you requested an in-person workshop, would you be okay with it being virtual in the event that there are scheduling difficulties?

YesNo

Will you be present during the presentation? If no, would you like us to take attendance?

Yes I will be present.No I will not be present - not necessary to take attendanceNo I will not be present - please take attendance

Please select what kind of A/V equipment will be available for our presenters. Please select all that apply

HDMIVGASound hook-upDesktop computerMicrophoneNo equipment available

Please provide an estimate of the number of attendees:

Do any attendees require any special accommodations (e.g., large-format text, screen-reader, etc.)?

Workshop: Time Management

Workshop:

Date:

Time: (Format example: 10:00a.m. - 10:50a.m.)

Please indicate if you would like the workshop to be in person, via zoom, or either?

ZoomIn-PersonEither

If you requested an in-person workshop, would you be okay with it being virtual in the event that there are scheduling difficulties?

YesNo

Will you be present during the presentation? If no, would you like us to take attendance?

Yes I will be present.No I will not be present - not necessary to take attendanceNo I will not be present - please take attendance

Please select what kind of A/V equipment will be available for our presenters. Please select all that apply

HDMIVGASound hook-upDesktop computerMicrophoneNo equipment available

Please provide an estimate of the number of attendees:

Do any attendees require any special accommodations (e.g., large-format text, screen-reader, etc.)?

Workshop: Stress Management/Self-Care

Workshop:

Date:

Time: (Format example: 10:00a.m. - 10:50a.m.)

Please indicate if you would like the workshop to be in person, via zoom, or either?

ZoomIn-PersonEither

If you requested an in-person workshop, would you be okay with it being virtual in the event that there are scheduling difficulties?

YesNo

Will you be present during the presentation? If no, would you like us to take attendance?

Yes I will be present.No I will not be present - not necessary to take attendanceNo I will not be present - please take attendance

Please select what kind of A/V equipment will be available for our presenters. Please select all that apply

HDMIVGASound hook-upDesktop computerMicrophoneNo equipment available

Please provide an estimate of the number of attendees:

Do any attendees require any special accommodations (e.g., large-format text, screen-reader, etc.)?

Workshop: Test Anxiety

Workshop:

Date:

Time: (Format example: 10:00a.m. - 10:50a.m.)

Please indicate if you would like the workshop to be in person, via zoom, or either?

ZoomIn-PersonEither

If you requested an in-person workshop, would you be okay with it being virtual in the event that there are scheduling difficulties?

YesNo

Will you be present during the presentation? If no, would you like us to take attendance?

Yes I will be present.No I will not be present - not necessary to take attendanceNo I will not be present - please take attendance

Please select what kind of A/V equipment will be available for our presenters. Please select all that apply

HDMIVGASound hook-upDesktop computerMicrophoneNo equipment available

Please provide an estimate of the number of attendees:

Do any attendees require any special accommodations (e.g., large-format text, screen-reader, etc.)?

Workshop: Social Anxiety

Workshop:

Date:

Time: (Format example: 10:00a.m. - 10:50a.m.)

Please indicate if you would like the workshop to be in person, via zoom, or either?

ZoomIn-PersonEither

If you requested an in-person workshop, would you be okay with it being virtual in the event that there are scheduling difficulties?

YesNo

Will you be present during the presentation? If no, would you like us to take attendance?

Yes I will be present.No I will not be present - not necessary to take attendanceNo I will not be present - please take attendance

Please select what kind of A/V equipment will be available for our presenters. Please select all that apply

HDMIVGASound hook-upDesktop computerMicrophoneNo equipment available

Please provide an estimate of the number of attendees:

Do any attendees require any special accommodations (e.g., large-format text, screen-reader, etc.)?

Workshop: Performance Anxiety

Workshop:

Date:

Time: (Format example: 10:00a.m. - 10:50a.m.)

Please indicate if you would like the workshop to be in person, via zoom, or either?

ZoomIn-PersonEither

If you requested an in-person workshop, would you be okay with it being virtual in the event that there are scheduling difficulties?

YesNo

Will you be present during the presentation? If no, would you like us to take attendance?

Yes I will be present.No I will not be present - not necessary to take attendanceNo I will not be present - please take attendance

Please select what kind of A/V equipment will be available for our presenters. Please select all that apply

HDMIVGASound hook-upDesktop computerMicrophoneNo equipment available

Please provide an estimate of the number of attendees:

Do any attendees require any special accommodations (e.g., large-format text, screen-reader, etc.)?

Workshop: Sleep Health

Workshop:

Date:

Time: (Format example: 10:00a.m. - 10:50a.m.)

Please indicate if you would like the workshop to be in person, via zoom, or either?

ZoomIn-PersonEither

If you requested an in-person workshop, would you be okay with it being virtual in the event that there are scheduling difficulties?

YesNo

Will you be present during the presentation? If no, would you like us to take attendance?

Yes I will be present.No I will not be present - not necessary to take attendanceNo I will not be present - please take attendance

Please select what kind of A/V equipment will be available for our presenters. Please select all that apply

HDMIVGASound hook-upDesktop computerMicrophoneNo equipment available

Please provide an estimate of the number of attendees:

Do any attendees require any special accommodations (e.g., large-format text, screen-reader, etc.)?

Workshop: Asking for Health

Workshop:

Date:

Time: (Format example: 10:00a.m. - 10:50a.m.)

Please indicate if you would like the workshop to be in person, via zoom, or either?

ZoomIn-PersonEither

If you requested an in-person workshop, would you be okay with it being virtual in the event that there are scheduling difficulties?

YesNo

Will you be present during the presentation? If no, would you like us to take attendance?

Yes I will be present.No I will not be present - not necessary to take attendanceNo I will not be present - please take attendance

Please select what kind of A/V equipment will be available for our presenters. Please select all that apply

HDMIVGASound hook-upDesktop computerMicrophoneNo equipment available

Please provide an estimate of the number of attendees:

Do any attendees require any special accommodations (e.g., large-format text, screen-reader, etc.)?

Workshop: Mindfulness

Workshop:

Date:

Time: (Format example: 10:00a.m. - 10:50a.m.)

Please indicate if you would like the workshop to be in person, via zoom, or either?

ZoomIn-PersonEither

If you requested an in-person workshop, would you be okay with it being virtual in the event that there are scheduling difficulties?

YesNo

Will you be present during the presentation? If no, would you like us to take attendance?

Yes I will be present.No I will not be present - not necessary to take attendanceNo I will not be present - please take attendance

Please select what kind of A/V equipment will be available for our presenters. Please select all that apply

HDMIVGASound hook-upDesktop computerMicrophoneNo equipment available

Please provide an estimate of the number of attendees:

Do any attendees require any special accommodations (e.g., large-format text, screen-reader, etc.)?

Workshop: Self-Compassion

Workshop:

Date:

Time: (Format example: 10:00a.m. - 10:50a.m.)

Please indicate if you would like the workshop to be in person, via zoom, or either?

ZoomIn-PersonEither

If you requested an in-person workshop, would you be okay with it being virtual in the event that there are scheduling difficulties?

YesNo

Will you be present during the presentation? If no, would you like us to take attendance?

Yes I will be present.No I will not be present - not necessary to take attendanceNo I will not be present - please take attendance

Please select what kind of A/V equipment will be available for our presenters. Please select all that apply

HDMIVGASound hook-upDesktop computerMicrophoneNo equipment available

Please provide an estimate of the number of attendees:

Do any attendees require any special accommodations (e.g., large-format text, screen-reader, etc.)?

Workshop: Living a Meaningful Life/Values

Workshop:

Date:

Time: (Format example: 10:00a.m. - 10:50a.m.)

Please indicate if you would like the workshop to be in person, via zoom, or either?

ZoomIn-PersonEither

If you requested an in-person workshop, would you be okay with it being virtual in the event that there are scheduling difficulties?

YesNo

Will you be present during the presentation? If no, would you like us to take attendance?

Yes I will be present.No I will not be present - not necessary to take attendanceNo I will not be present - please take attendance

Please select what kind of A/V equipment will be available for our presenters. Please select all that apply

HDMIVGASound hook-upDesktop computerMicrophoneNo equipment available

Please provide an estimate of the number of attendees:

Do any attendees require any special accommodations (e.g., large-format text, screen-reader, etc.)?

Workshop: Communicating Effectively/Interpersonal Effectiveness

Workshop:

Date:

Time: (Format example: 10:00a.m. - 10:50a.m.)

Please indicate if you would like the workshop to be in person, via zoom, or either?

ZoomIn-PersonEither

If you requested an in-person workshop, would you be okay with it being virtual in the event that there are scheduling difficulties?

YesNo

Will you be present during the presentation? If no, would you like us to take attendance?

Yes I will be present.No I will not be present - not necessary to take attendanceNo I will not be present - please take attendance

Please select what kind of A/V equipment will be available for our presenters. Please select all that apply

HDMIVGASound hook-upDesktop computerMicrophoneNo equipment available

Please provide an estimate of the number of attendees:

Do any attendees require any special accommodations (e.g., large-format text, screen-reader, etc.)?

Workshop: Changing Your Habits

Workshop:

Date:

Time: (Format example: 10:00a.m. - 10:50a.m.)

Please indicate if you would like the workshop to be in person, via zoom, or either?

ZoomIn-PersonEither

If you requested an in-person workshop, would you be okay with it being virtual in the event that there are scheduling difficulties?

YesNo

Will you be present during the presentation? If no, would you like us to take attendance?

Yes I will be present.No I will not be present - not necessary to take attendanceNo I will not be present - please take attendance

Please select what kind of A/V equipment will be available for our presenters. Please select all that apply

HDMIVGASound hook-upDesktop computerMicrophoneNo equipment available

Please provide an estimate of the number of attendees:

Do any attendees require any special accommodations (e.g., large-format text, screen-reader, etc.)?

Workshop: Career Direction and Values

Workshop:

Date:

Time: (Format example: 10:00a.m. - 10:50a.m.)

Please indicate if you would like the workshop to be in person, via zoom, or either?

ZoomIn-PersonEither

If you requested an in-person workshop, would you be okay with it being virtual in the event that there are scheduling difficulties?

YesNo

Will you be present during the presentation? If no, would you like us to take attendance?

Yes I will be present.No I will not be present - not necessary to take attendanceNo I will not be present - please take attendance

Please select what kind of A/V equipment will be available for our presenters. Please select all that apply

HDMIVGASound hook-upDesktop computerMicrophoneNo equipment available

Please provide an estimate of the number of attendees:

Do any attendees require any special accommodations (e.g., large-format text, screen-reader, etc.)?

Workshop: Reconsidering our Relationship to Technology

Workshop:

Date:

Time: (Format example: 10:00a.m. - 10:50a.m.)

Please indicate if you would like the workshop to be in person, via zoom, or either?

ZoomIn-PersonEither

If you requested an in-person workshop, would you be okay with it being virtual in the event that there are scheduling difficulties?

YesNo

Will you be present during the presentation? If no, would you like us to take attendance?

Yes I will be present.No I will not be present - not necessary to take attendanceNo I will not be present - please take attendance

Please select what kind of A/V equipment will be available for our presenters. Please select all that apply

HDMIVGASound hook-upDesktop computerMicrophoneNo equipment available

Please provide an estimate of the number of attendees:

Do any attendees require any special accommodations (e.g., large-format text, screen-reader, etc.)?

Workshop: Exploring Social Identities/Marginalization, Privilege, and Coping

Workshop:

Date:

Time: (Format example: 10:00a.m. - 10:50a.m.)

Please indicate if you would like the workshop to be in person, via zoom, or either?

ZoomIn-PersonEither

If you requested an in-person workshop, would you be okay with it being virtual in the event that there are scheduling difficulties?

YesNo

Will you be present during the presentation? If no, would you like us to take attendance?

Yes I will be present.No I will not be present - not necessary to take attendanceNo I will not be present - please take attendance

Please select what kind of A/V equipment will be available for our presenters. Please select all that apply

HDMIVGASound hook-upDesktop computerMicrophoneNo equipment available

Please provide an estimate of the number of attendees:

Do any attendees require any special accommodations (e.g., large-format text, screen-reader, etc.)?

Workshop: Stressors and Strategies for First Gen Students

Workshop:

Date:

Time: (Format example: 10:00a.m. - 10:50a.m.)

Please indicate if you would like the workshop to be in person, via zoom, or either?

ZoomIn-PersonEither

If you requested an in-person workshop, would you be okay with it being virtual in the event that there are scheduling difficulties?

YesNo

Will you be present during the presentation? If no, would you like us to take attendance?

Yes I will be present.No I will not be present - not necessary to take attendanceNo I will not be present - please take attendance

Please select what kind of A/V equipment will be available for our presenters. Please select all that apply

HDMIVGASound hook-upDesktop computerMicrophoneNo equipment available

Please provide an estimate of the number of attendees:

Do any attendees require any special accommodations (e.g., large-format text, screen-reader, etc.)?

Workshop: Finding A Mentor

Workshop:

Date:

Time: (Format example: 10:00a.m. - 10:50a.m.)

Please indicate if you would like the workshop to be in person, via zoom, or either?

ZoomIn-PersonEither

If you requested an in-person workshop, would you be okay with it being virtual in the event that there are scheduling difficulties?

YesNo

Will you be present during the presentation? If no, would you like us to take attendance?

Yes I will be present.No I will not be present - not necessary to take attendanceNo I will not be present - please take attendance

Please select what kind of A/V equipment will be available for our presenters. Please select all that apply

HDMIVGASound hook-upDesktop computerMicrophoneNo equipment available

Please provide an estimate of the number of attendees:

Do any attendees require any special accommodations (e.g., large-format text, screen-reader, etc.)?

Workshop: Other

Workshop:

Date:

Time: (Format example: 10:00a.m. - 10:50a.m.)

Please indicate if you would like the workshop to be in person, via zoom, or either?

ZoomIn-PersonEither

If you requested an in-person workshop, would you be okay with it being virtual in the event that there are scheduling difficulties?

YesNo

Will you be present during the presentation? If no, would you like us to take attendance?

Yes I will be present.No I will not be present - not necessary to take attendanceNo I will not be present - please take attendance

Please select what kind of A/V equipment will be available for our presenters. Please select all that apply

HDMIVGASound hook-upDesktop computerMicrophoneNo equipment available

Please provide an estimate of the number of attendees:

Do any attendees require any special accommodations (e.g., large-format text, screen-reader, etc.)?

Acknowledgement

University Staff Assistance:

By clicking the checkbox, I understand my information will be shared with university staff to help me with this transaction.

We will contact you when a facilitator is available to fulfill your request. Please note that this process may take several days, but if you have not heard from us in 3 days or there is urgency in hearing back, please contact us.

Contact Information

UMass Boston

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Workshop Request Form

Complete the Workshop Request Form