MTSU Leadership

Center for Student Involvement & Leadership

© 2008 MTSU
Leadership & Service
Murfreesboro, TN 37132
mtleader@mtsu.edu

BOLT Online Form

To request BOLT services, please complete the following form. Be as detailed as possible. Requests should be submitted at least two weeks in advance of the presentation date. Once you submit the form, someone from the Office of Leadership and Service or a BOLT member will contact you.

Name of group requesting presentation:

Contact Person:

Contact's Phone Number:

Contact's Email Address:

Requested Date of Presentation:

2nd Choice of Date:

Explanation of Presentation Being Requested:

Length of Presentation (ex: 1 hour, 45 minutes, etc.):

Number of people expected at the presentation:

Have you reserved a location on campus for this presentation?

Yes No

What location have you reserved or would you prefer?

NOTE: If you have not secured a location, list your preference and BOLT will aid you in your reservation.