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Student Support Services S3 Vehicle Request Form
Please complete the
following questions to request the S3 Vehicle.
* Indicates required question
Email
*
Your email
Student Support Services S3 Vehicle with Tabling
Your Name & Job Title:
*
Your answer
Your address, School Site or Department:
*
Your answer
Your phone number:
*
Your answer
We are requesting:
(please choose one option per event)
S3 Vehicle, Attendance Improvement & McKinney-Vento Program Staff w/ Tabling
McKinney-Vento Program Staff- Tabling Only
Attendance Improvement Program Staff -Tabling Only
Both Attendance Improvement Staff & McKinney-Vento Staff- Tabling Only
Attendance Improvement Program Presentation- Visual (power point)
McKinney Vento Program Presentation- Visual (power point)
Other:
Please tell us about your event. Purpose, goals, audience, etc.
Your answer
How many people do you expect?
Your answer
Date of your event:
(please reserve a minimum of one week in advance)
MM
/
DD
/
YYYY
Start time of your event:
(
arrival time is 1/2 hour prior to event start time unless otherwise requested
)
Your answer
End time of your event:
Your answer
Is there any additional information you would like to share?
Your answer
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