BGSU :: Office of Campus Activities

Office of Campus Activities

PLC Request Form

Please complete the form below to request the services of the Peer Leadership Consultants. A PLC representative will contact you upon receipt of your request form.

Name of Organization:

Contact Name: Phone Number:

Email Address:

Organization Address:

Approx. # of Participants: Retreat Location:

Are there any participants with special needs? Please explain:

What days of the week would work for a retreat?

When are your organization's meeting days and times?

These meeting times would be a potential retreat time.

PLC needs at least two weeks to plan an effective retreat.

The Need:
WHICH OF THE FOLLOWING ELEMENTS ARE IMPORTANT TO YOUR GROUP?
(PLEASE CHECK 2 OR 3 ITEMS IN WHICH YOU ARE MOST INTERESTED.)

If other, please specify:

Goals: What are your groups goals for this event?

Additional Info:

Process:

After your request is received, a Peer Leadership Consultant will contact you to set up a consultation appointment to further discuss your needs. A retreat date will be scheduled at the consultation.

Questions? Comments? Please contact Kirsten Brown at 419-372-2343 or plc@bgsu.edu.

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