Request Form for Custom Technology Workshops Please fill out all required (*) fields and click the ‘Submit’ button at the bottom of the form. If you have issues with this form, please email the below information to firstname.lastname@example.org. Name*Email*PhoneThe phone number where the person requesting the training can be contactedDepartmentAffiliationPlease select the role of the person or group that is requesting this workshopProfessor/FacultyTeaching Assistant (TA)StaffStudent OrganizationAffiliated CourseIf this workshop is being requested for an academic course, enter the name and number for that course here.Workshop Topic*What program or technology would you like this workshop to cover (e.g. iMovie, Access, HTML/CSS, WordPress, etc.)?DescriptionDescribe what you would like attendees of this workshop to learn or if there are any specific outcomes you are seeking (e.g. the class's final project is an infographic and I would like them to learn how to build a poster in Illustrator, the students are using Wordpress to create a personal website, etc.)Start TimeThe preferred time for your workshop : HH MM AM PM End TimeWhen your workshop will end. : HH MM AM PM DateThe preferred date you would like to hold this workshop Alternate DateIf your preferred date is not available, another time that would work. Number of StudentsThe number of students who will be attending this training. We request a minimum of 8 students for custom workshops.LocationIf you would prefer STS to find a space, please choose that option below. If you have your own classroom or lab space reserved, please enter that in the "Other" field.I would like STS to find a space to use for this training.Additional DetailsPlease include any additional information about your training request that you would like us to know. This iframe contains the logic required to handle AJAX powered Gravity Forms.