Leadership Programs Custom Workshop Request Name of organization, department, or college requesting a custom workshop(Required) Contact Name(Required) First Last Email(Required) Phone(Required)Presentation Goals(Required)Desired Presentation Date – First Choice(Required) MM slash DD slash YYYY Desired Presentation Start Time – First Choice(Required) Hours : Minutes AM PM AM/PM Desired Presentation End Time – First Choice(Required) Hours : Minutes AM PM AM/PM Desired Presentation Date – Second Choice(Required) MM slash DD slash YYYY Desired Presentation Start Time – Second Choice(Required) Hours : Minutes AM PM AM/PM Desired Presentation End Time – Second Choice(Required) Hours : Minutes AM PM AM/PM Presentation Location: Building & Room Number(Required) Audience Size(Required) We prefer groups to be a minimum of 10 people. Please feel free to double-up with other departments or organizations if needed. For all presentations: groups should be between 10-30 participants. Who is the audience for your request?(Required) Undergraduate Students Graduate Students Faculty and/or Staff (may include graduate/professional students working in an advisory capacity) What type of presentation are you requesting?(Required) Strengths for Students, Part I : 90 Minutes Strengths for Student, Part II: 90 Minutes (Prerequisite, Strengths for Students Part I) Strengths for Staff & Faculty, Part I : 90 Minutes Strengths for Staff & Faculty: Part II: 90 Minutes (Prerequisite, Strengths for Staff & Faculty Part I) What presentation format are you requesting?(Required) In-person Virtual Will you have a laptop and HDMI or VGA cable for this presentation, or is the room already equipped with a computer/projector/screen?(Required) Yes No N/A, Requesting a Virtual Presentation Our presentation requires the use of PowerPoint. Please let us know if you will provide technology or if we need to bring our own.Acknowledgements(Required) I acknowledge that I understand that custom workshop requests are fulfilled based on availability of facilitators. I acknowledge that I understand that my request may not be fulfilled if submitted within less than 3 weeks of my desired workshop date. I acknowledge that if I hold a staff member or faculty role, that my department is responsible for the $15 per person Clifton Strengths code cost AND the $50 workshop facilitation cost. Once you have submitted this form, a Leadership Programs staff member will reach out to you via email within one week. Thank you!