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.)

The University of Texas Rio Grande Valley

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

Presentation Request Form