Writing Center Request for Workshop Form

Once we receive your request, a Writing Center staff member will follow up with you. Please note that we prefer to have at least three weeks' notice for all workshops and cannot plan workshops less that one week in advance.1

Today's Date:
Contact Person Name: Email:
Department and Course: Phone:
Ideal Date for Workshop: Two Alternate Dates (this is not an optional field; please provide alternate dates):
Workshop Focus: Preferred Workshop Length:
Class Time: Number of Students:
What would you like your students to gain from your Writing Center workshop? What are your main concerns at this point?

Describe any class assignments that relate to the workshop. If available, paste the assignment in the box below.

Do you have a course web page and, if so, may we access it? Please provide a login and password if applicable.

Would you like to meet with someone from the Writing Center to discuss your assignment?
Yes No



1. This form has been adapted from the University of North Carolina at Chapel Hill's "Request a Workshop" form.