Title IX Program / Training Request

Many thanks for your interest in a Title IX program or training session to support the interests of your group or organization, and to contribute to the quality of life within the Kentucky Wesleyan community. Please complete the following information. We’ll be back in touch shortly.

Andrea Denise Bolden
Title IX Coordinator
270-852-3254

andrea.bolden@kwc.edu

Contact Information
Organization / group name*
Contact Name*
First Last
Contact Email*
Contact Phone*
Program Information
Does your group have any specific needs or interests?
Number of attendees anticipated*
Program Date - FIRST CHOICE*
MM slash DD slash YYYY
Start Time - FIRST CHOICE

: Hours

Minutes

AM/PM
Program Date - SECOND CHOICE*
MM slash DD slash YYYY
Start Time - SECOND CHOICE*

: Hours

Minutes

AM/PM
Location
Space
- We have a meeting location in mind
- Please reserve ADMIN 214
Location other than ADMIN 214
Does the room above have wireless internet connectivity?
- Yes
- No
Does the room have a digital projector with HDMI connectivity for iPad & speakers?
- Yes
- No
Does the location have a suitable viewing area/screen?
- Yes
- No
Any other information you'd like to share at this point?

Contact Information

Program Information

Location