Presentation Request Form

To request a presentation from Student Accessibility Services or to participate in a community or school fair, please complete the form below and click the "submit" button at the bottom of the page. Please submit requests at least 2 weeks in advance of the requested presentation date. (Note: Panel requests may need more lead time to allow us to contact and confirm panelists).

For specific questions about the presentation request process, please contact ability@utrgv.edu.

Contact Information Group / Department / Organization (Required) Contact Name (Required) Email (Required) Format: your.name@email.com Office Location: (Required) Contact Phone (Required) Format: (956) 111-2222 Type of Presentation (Required) Presentation Administration Type : (Required) Location of Presentation: (Required) Room Number (If Applicable): Other: (please specify) Length of Presentation Format: 1 hour Estimated Attendance Format: Estimated number of attendees / participants

Presentation Date & Time Choice First Choice Date Format: mm/dd/yyyy First Choice Time (Presentation Time) Second Choice Date Format: mm/dd/yyyy Second Choice Time (Presentation Time)

Comments & Accommodations Request Details, Notes & Comments Format: Please list specific request details ( purpose, goals, location ). Accommodation Needs Format: Please indicate if you are aware of any potential accommodation needs of your participants ( interpreter, large print, etc. ) Upload any supporting documentation (i.e. agenda, flyer, presentation etc.)

Student Accessibility Services Office of Student Life and the Dean of Students

Presentation Request Form