Presentation Request: Student Conflict Resolution Services, Offices of the Dean of Student Life, Texas A&M University

SCRS Presentation Request Form

To request a presentation, please complete the form, and click the submit button at the bottom of the page.

Name of group/organization:
People Attending:	(approximate number)
Contact Name:
Email Address:
Phone Number:	(Please use format xxx-xxx-xxxx)
Contact Address:
City:
State:
Zip/Postal Code:
Contact Preference:

Presentations should be requested at least 2 weeks prior to the requested presentation date.

Please enter your selection date in MM/DD/YYYY format.

	Date	Time	AM/PM
First Choice:
Second Choice:
Desired Length of Presentation:

Directions to Presentation Site and Parking Location

Additional Comments?
If 'Other' was selected for length of presentation, please enter desired time here.

Build Your Presentation!

Choose the topics areas you would like to be discussed during the presentation.

If you have other topics you would like to be included, please indicate in the comment boxes below.
The office staff will review this information with you when they contact you to confirm the details of your request.

Student Legal Services

Student Legal Services General Information & Overview
Alcohol Offenses	Landlord/Tenant Issues
Criminal Offenses	Consumer Rip-offs

Student Conduct Services

Alcohol and Drug offenses	Student Rules
University Sanctions	University Conduct System
Hazing Offenses

Student Mediation Services

Conflict Resolution Strategies	Assertiveness Training
Communication Strategies	What is Mediation?

Specific information to be covered in the presentation:

Special areas of concern:

Reason for the program request:

Would you like to give us feedback on our On-Line Presentation Request Form?:

How Did You Hear About Us?:
Other:

A staff member will contact you once they have had time to review your request with their availability.

To follow-up on your request or to talk about specific details please call (979) 847-7272.


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