DAC Request for Presentation

Request for PNW Accessibility Center Presentation Form

If you would like the PNW Accessibility Center (PAC) to present in your classroom about the PAC and what services the PAC offers, complete this form.

After completing the form, the PAC will be in contact to set up a date to present to your class.

What would you like the DAC to present?

General information
Role of a PAC on a College Campus
Other

Instructor Information:

Name:

Phone Number:

Email Address:

Course Information:

Course and Number (COM 114, MA 115, GS 191, etc.):

Day and Time of Class (MW - 2:00 pm-3:15 pm, etc.):

Room Location (GYTE 007F, TECH 109, online etc.):

Do you want the PAC to present in another course?

Yes
No

Course Information:

Course and Number (COM 114, MA 115, GS 191, etc.):

Day and Time of Class (MW - 2:00 pm-3:15 pm, etc.):

Room Location (GYTE 007F, TECH 109, online etc.):

Do you want the PAC to present in another course?

Yes
No

Course Information:

Course and Number (COM 114, MA 115, GS 191, etc.):

Day and Time of Class (MW - 2:00 pm-3:15 pm, etc.):

Room Location (GYTE 007F, TECH 109, online, etc.):

Do you want the PAC to present in another course?

Yes
No

Course Information:

Course and Number (COM 114, MA 115, GS 191, etc.):

Day and Time of Class (MW - 2:00 pm-3:15 pm, etc.):

Room Location (GYTE 007F, TECH 109, online, etc.):

If you need additional presentations, please contact the PAC at pac@pnw.edu with a list of courses, time, and classroom locations.