Courageous Conversation Event Request

First Name

Last Name

Email Address

Please share the topic/idea you would like to discuss during Courageous Conversations

Purpose/objective of your event

What key points would you like the audience to leave knowing after attending your Courageous Conversation?

Date of proposed event

Time of proposed event

Location of proposed event

Please provide a specific location if you would like your event to be in person. Example, Student Center Ballroom, Student Center rooms 313-315. Please do not solely list the Student Center as an option. If you would like your event to be virtual, type "virtual" and specify the platform you would like to use.

Panelist Names

Will you require any resources to host your event? (Food, technology, facilities, marketing)

Any additional information you would like to include?

I am a CSU