SRJC Petaluma Presentation Request Form

Would you like to host a student services presentation? Let us know by submitting your request below.

Please submit ONE request per presentation topic.

Faculty Name*

Phone*

Email*

Name of Department/Program*

Course Title and Course Number*

Section Number*

Class Room Number*

Class Time *

Are you requesting a Zoom or in-person presentation? *

In-person Zoom

Date and Time of Presentation (Choice #1)*

:

Availability varies by department.

Date and Time of Presentation (Choice #2) *

:

Availability varies by department.