LEAD Team Workshop Request

Please remember to request workshops two weeks prior to the preferred workshop date.

First Name: *

Last name: *

Phone Number: *

ex: 704-687-2000

UNC Charlotte Email Address: *

Organization Name: *

Workshop Requested: *

Preferred Date*

Preferred Time*

Alternate Date

Alternate Time

Location: *

Presentation location.

Anticipated Number of Attendees: *

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