CSUF DSS - Outreach Request
Thank you for your Disability Support Services (DSS) presentation/outreach request. We appreciate your interest and look forward to presenting at your virtual event.  

To ensure sure we meet your presentation/outreach request needs and expectations, could you please provide us the following information:
                                   
Sign in to Google to save your progress. Learn more
Email *
Name (First, Last): *
Phone Number:
Organization/Department Name *
You are: *
Preferred Presentation Date/Time: *
Secondary Preferred Presentation Date/Time: *
Presentation duration: *
Who's the audience?: *
Presentation Style: *
Zoom or online platform information or link (If applicable):
Presentation topic: *
Digital handouts needed?: *
Number of expected attendees: *
Does your audience have any access/disability related accommodations needs we should be aware of?:   *
Other questions, comments, or concerns?: *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy