MSU-Billings Outreach Programs - Recommendation for Outreach Courses or Events

Recommendation for Outreach Courses or Events
*Indicates required field

What Professional Development or Lifelong Learning Courses or Events would you like to see us offer?

What dates and times would you prefer for these offerings?

Proposed Schedule

Sun

Mon

Tue

Wed

Thu

Fri

Sat

*Start Date:

	*End Date:
mm/dd/yyyy		mm/dd/yyyy

*From:

		AM		PM	To:			AM		PM
hh:mm						hh:mm

Preferred Location:

*Your Name:

*Address1:

Address2:

*City:

*State:

*Zip:

*Phone:

			Ext.
		(999)999-9999

			Ext.
		(999) 999-9999

			Ext.
		(999)999-9999

E-mail: