Form Request a Training or Presentation Contact InformationName(Required) First Last UConn Email(Required) Affiliation(Required) Student Staff Faculty Other Department/Unit/Organization(Required)Preferred Date and TimeDate(Required) Month Day Year Time(Required) Hours : Minutes AM PM AM/PM Alternate Date and TimeAlternate Date(Required) Month Day Year Alternate Time(Required) Hours : Minutes AM PM AM/PM Presentation DetailsAudience(Required) Current UConn students Prospective UConn students Parents and families of students UConn staff and/or faculty Student leaders/employees Other Other(Required)Please explainAre there other details regarding audience we should know?Topic(Required) FERPA HIPAA Other EmailThis field is for validation purposes and should be left unchanged.