Workshop Request Form Name*Year at Wagner*Workshop Title*Description of the workshop*What skills do you hope to develop in this workshop?*What developmental level does this level target, and how?*(Exploration, Experience, Example, or Expertise)Do you have a program or guest facilitator in mind?*Please include any co-facilitators. If this is a workshop proposal for you to run, please indicate here. Be sure to provide all facilitators' full names and contact info. When would like for this workshop to take place?*List two possible dates. If this is part of a series or unit, please indicate here and include all proposed dates.Where would you like for this workshop to take place?*Please list the materials needed for this workshop.*Is there any additional information you would like to include in your request?CommentsThis field is for validation purposes and should be left unchanged.