MEPConnect Industry Request Form - Fall 2021
Please complete the form below. Feel free to email us at mep@calpoly.edu if you have any questions about the form.
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Point of Contact's First and Last Name *
EX: Brad Pitt
Point of Contact's Email *
Point of Contact's Phone Number *
EX: 555-555-5555
Point of Contact's Job Title
Company/Organization Name *
Type of Event *
Title of Event
Brief Description of Event *
First Choice - Date and Time of Event *
The following weeks are available in Fall 2021: October 11th - 15th, October 18th - 22nd, October 25th - 29th, and November 15th - 19th. Events are held Monday - Friday and are typically 60 minutes long.
MM
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DD
/
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Time
:
Second Choice - Date and Time of Event *
The following weeks are available in Fall 2021: October 11th - 15th, October 18th - 22nd, October 25th - 29th, and November 15th - 19th. Events are held Monday - Friday and are typically 60 minutes long.
MM
/
DD
/
YYYY
Time
:
Please include any other details that may be helpful for the MEP Team to know about your proposed event.
Submit
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