601 East College Drive
Winnebago, Nebraska 68071
Phone: (402) 878-2380
Fax: (402) 878-2355
mgarcia@littlepriest.edu
www.littlepriest.edu
REQUEST FOR COMMUNITY EDUCATION WORKSHOP
Description of Workshop: ________________________________________________________
______________________________________________________________________________
Program(s) it pertains to: _________________________________________________________
______________________________________________________________________________
Description of content/materials/equipment needed: ____________________________________
______________________________________________________________________________
Are there specific training personnel in mind? Please provide their name and contact
information: ___________________________________________________________________
Will this training need to meet specific licensing or re-certification requirements for your
personnel? Yes ______ No _____
What advertising methods will be utilized for this course: _______________________________
______________________________________________________________________________
Please list your preference for scheduling this workshop or course: ________________________
______________________________________________________________________________
Estimated number of participants ________
Is this workshop open to the public? Yes _____ No _____
Catering is available through our Wolves Den Café. Will your event require catering?
Yes _____ No_____
If yes date(s) _______________________________ time(s) _____________________________
Number of Guests __________
Set up instructions ______________________________________________________________
______________________________________________________________________________
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