Division of Student Success

Faculty Fireside Request Form

Submit this fully completed form. Call us at 770-423-6310 for assistance, or e-mail us.

Faculty Information :: Function Information
Faculty Member Name:
Discipline:
Campus Ext. & Mail Box #:
Date & Time of function:
Location of function:
Class(es) to be invited:
Function Description
Please give a brief statement regarding plans for the occasion and approximate number of students who will attend.
Please return this form to Student Success by clicking on the 'submit' button below.