University of Wisconsin-River Falls
Technology Leadership Cadre

K-12 Education Professional Assistance Request

Please complete the following form

Name:

Email:

Telephone #:

School/District: Other:

Type of request:

For workshop requests only:
        What class is this help for?:
        How many students will be attending?:

When do you want to receive assistance?

Date:

Time:

Alternate Date:

Alternate time:

Desired location of assistance:

Topic or process that you need help with:

Explain exactly what you would like to accomplish and provide any additional requirements:

 

 

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