Workshop Request Form
Programs are typically conducted Monday - Thursday and no later than 8 pm. All program requests need to be submitted at least two weeks prior to the date of the intended program. While CAPS is committed to providing outreach programming to the campus community, high clinical demand for our services may utilize staff resources such that it could prevent us from being able to fulfill your request. In that event, we will contact you immediately and work with you to try to provide alternative campus resources, if available.
Please provide the following information so that we may process your request and find a presenter for you. When you have completed this form, please press the Submit button at the end of the page. Don Werden, Assistant Director, will get back with you within one week.
If for some reason, you have not heard back from Don within 7 days from the date your request, please call Don at (765) 494-6995 or email Don Werden. If you have questions or comments feel free to contact our office.
Fields designated with an asterisk (*) are required. Submissions with blank required fields will not properly transmit to CAPS.
Please complete a separate form for each program topic requested.