Leadership Plunge Pre-Workshop Questionnaire

Please answer the questionnaire as completely and honestly as possible. Your responses are important to help us provide a successful workshop.

What best describes you?

School or Organization

Your Email(Required)

Workshop Date

Please provide a contact number for the day of the event (ideally a cell phone for someone who will at the event)

Please describe the reason for bringing this workshop:

What groups/organizations/students will be present? Is there anyone else you would like to include in this discussion that are unable to attend?

Please identify potential hot button issues or topics for your students:

Tell us about your campus/organizational culture. Any recent issues that might come up in the discussion:

Is there anything else that the facilitators need to know about your students, campus/organization, or community before the workshop?

Will there be any faculty or staff in attendance?

Additional questions, comments or concerns:

Pre-Workshop Questionnaire: Leadership Plunge