Name and Contact information

Name:

Department:

Campus Phone:

UMD Email Address:

Proposed WorkshopTopic:

Suggested Workshop Presenter (If you have a suggestion):

Preferred Semester/Term to Present:

Brief overview of your idea
Please give a brief description of what the workshop would look like (content, process).

Upon receipt of this form, an IDS coordinator will be in contact with you to discuss your proposal. If you have any questions regarding this proposal, please call LeAne Rutherford, 218-726-6207, or email lrutherf@d.umn.edu.