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First Name and Last Name
Stony Brook Email
Preferred Phone Number
SBU ID
What is your role at Stony Brook?
Undergraduate student
Graduate student
Administrator/staff member
Faculty member
OLLI member
Will your session be co-facilitated by another student, staff, faculty or OLLI member?
Yes
No
What day(s) are you available to host sessions? Please select all that apply.
Monday, January 8, 2024
Tuesday, January 9, 2024
Wednesday, January 10, 2024
Thursday, January 11, 2024
Friday, January 12, 2024
Would you prefer to host your session as a daytime session (between 10am - 5pm) or an evening session (between 5pm - 10pm)?
Daytime session (10am-5pm)
Evening session (5pm-10pm)
Will your offering include external facilitators (alumni, external presenters, etc.)?
Yes
No
Who can attend your session?
All University community members (undergraduate students, graduate students, faculty and staff)
Faculty and staff
Students only (undergraduate and graduate students)
Other grouping (Please specify below)
Is your offering designed to be in-person or virtual?
My offering would be in-person
My offering would be virtual
What is your session title?
What is your session description?
This is the description potential participants will read when they are choosing what session(s). Please limit your description to
100 words or less.
What session length are you looking to lead?
30 minutes
45 minutes
60 minutes
90 minutes
Other
Please choose one PRIMARY area of focus of your session.
Careers & professional development
Craft activities
Coding & computing
Community building
Community service
Cooking
Diversity and inclusion
Fitness and strength
Hands-on skills
Humanities
Life skills
Performance arts
Rejuvenation & relaxation
Social science
STEM
Sustainability
Visual Arts
101 (introduction to your topic)
Please select any additional areas of focus for your session.
C
heck all that apply.
Careers & professional development
Craft activities
Coding & computing
Community building
Community service
Cooking
Diversity and inclusion
Fitness and strength
Hands-on skills
Humanities
Life skills
Performance arts
Rejuvenation & relaxation
Social science
STEM
Sustainability
Visual Arts
101 (introduction to your topic)
Other
What type of space is needed or required?
Classroom
Auditorium
Other
How many sessions are you interested in offering from Monday, January 12 to Friday, January 22?
What would be the optimal number of attendees?
Please enter the supplies needed to conduct your workshop.
Do you need budget support? If so, how much?
Please provide an itemized list.
What resources do you need?
Power access
Audiovisual needs
None
Other
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