Instructor Workshop Request Form

To request a workshop for your class, please fill out this form.

*Full Name:

*Employee ID number:

*Email address:

* 3 Available Dates and Times for a 60 Minute workshop:

* Workshop:

The U of R collects information under authority of The University of Regina Act in accordance with the Local Authority Freedom of Information & Protection of Privacy Act and the Personal Information Protection & Electronic Documents Act for purposes of enrolment, academic status, and administration of programs/services. By responding to this form, you consent the use your personal information to communicate with you about Student Success workshops.