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Wayne State University
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Future Docs Workshop Information
Fields with asterisks (*) are required.
Workshop Lead/ Main Contact:
First name
*
Last name
*
Email
*
Cell phone number (for day-of contact)
*
Workshop Details:
Title
*
Short Description of Workshop:
*
Supplies Requested from Alumni Department:
*
Please include any AV requests
Room Request
*
MD LAB
MAZUREK
NO PREFERENCE
Volunteer T-shirt Sizes (We will be providing t-shirts for workshop volunteers- please provide the t-shirt size for every team member, including yourself)
*
Do you need additional student volunteers?
*
Yes
No
If so, how many (provide a minimum and maximum number)?
Additional Comments/Questions