Please fill out this form to request a presentation from the Center for Leadership and Civic Education. All fields are required.

Thank you for your interest in the Center for Leadership and Civic Education. While we cannot guarantee that all requests can be filled, we will work to accommodate your needs. If you have any questions, please contact us at 850-644-3342. *To request information in an alternative format contact 850-644-3342.

First Name:
Last Name:
Email Address:
Phone Number:
Class Name:
Course Number:
Section Number:
Class Location:
Estimated Attendance:
Date/Time of Presentation:
Alternative Date/Time of Presentation:
Class Duration:
Presentation Duration:





Presentation Topic:
Additional Information:
   
 

Once submitted, your request will be reviewed in a timely manner. Our staff will communicate with you about request approval and time availability.

If you have any questions about this form, please contact bkv04@admin.fsu.edu.