1 Start 2 Form Preview 3 Complete Project Staff Contact * Activity Title * Start date * Please enter specific dates desired for activity. Education staff will confirm final dates. Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20222023202420252026 End date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20222023202420252026 Start time If applicable please provide start and end times of activity Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm End time Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm Location * If this is an in person activity please be sure to complete the Meeting Request form located on the intranet and return to Sara Mansoor. If this is to be a webinar, Education staff will secure a location. If this is an online activity, location is not needed. Estimated Attendance * Project Billing Code * Leave this field blank