1

Requester's Name

 *

Requester's Name

First Name

Last Name

2

 Your GCC email

 *

GCC Email

3

Date(s) of Absence(s)

 *

Date(s) of Absence(s)

Date(s) of Absence(s)

Date(s) of Absence(s)

4

Class Information

 *

Class Information

Course (e.g. English 101)

Time(s) Class(es) Meet (e.g. 10:45-12:10)

Location (e.g. CR 225, Zoom)

Length of Class (e.g. 120 minutes)

Number of workshops requested (per class)

Number of students enrolled (in each class)

5

Workshops requested, in order of preference: (e.g. Paragraph Development, Growth Mindsets, Intro to the Library, and Effective Resume Writing)

 *

Workshops:

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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