Career Services - A & S Dialog Request Form


 

 

If you would like a Career Services Counselor to present on career related topics or introduce our services to your dialog students, please complete this form. You must submit this form at least two weeks prior to your requested presentation date.

Questions?
Call Laura Smith, Assistant Director, Retention Programs, at 768-4170

Provide Your Contact Information:
Today's Date:
Contact Person:
Telephone:
E-mail:
Provide Your Presentation Request:
Requested Presentation :

Introduction to Career Services (power point)
Four Year Career Development Plan (power point)
Choosing a Major (power point)
Other:

NOTE: If you are requesting a power point presentation, please mention in the bottom special request box if we need to request MTS services.

Classroom Location:


Is this a Smart Classroom?
Yes No
Preferred Date:
(mm/dd/yy)
Alternate Date:
(mm/dd/yy)
Presentation Time:

Start Time:
  End Time:

Number of Students:
List majors within dialog group:

Please add any special requests or instructions:
Thank you!

University of Hartford • Career Services • GSU 309
200 Bloomfield Ave • West Hartford, CT 06117
tel: 860.768.4287 • fax: 860.768.5141 • email: career@hartford.edu