Computing MATTERS: Request A Workshop

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Name

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Phone Number

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Your Email Address

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City and State

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Select the role that best describes you.

If other, please describe.

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Will you be the point of contact?

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Name

Email Address

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Select the type of workshop.

Student workshop

Professional Development

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Select applicable subject areas.

Engineering	Biology	Chemistry
Earth/Environmental Science	Physics	Computer Science
Mathematics	Computer Modeling	Other

If other, please describe.

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Describe your goals for the workshop.

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Length of workshop

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Describe the timeframe for this workshop.

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Shodor