Gavilan College -> Outreach Request Form

Outreach Request Form

If you would like information on Gavilan College programs and services for your event, please fill out this form. Any questions? Call or e-mail Lynda Kerr, Outreach Senior Program Specialist at 408-846-4993 or outreach@gavilan.edu.

Request must be completed two weeks in advance of event.
Pick up information cases at the Outreach office (BU125).
Return unused information to the Outreach office within 3 days after event.
Form will be emailed to: lkerr@gavilan.edu

Contact Information:

Full Name:

Email:

Phone:

Event Information:

Event:

Event Location:

Number of Anticipated Attendees:

Date:

Start Hour:

End Hour:

Audience:

Information to be Presented:

	To select more than one presentation: PC users hold CTRL + click, MAC users hold SHIFT + click
Other

For Gavilan Employees only:

I will be representing Gavilan at this event.

I will be there, but will need additional help.

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