University of Minnesota
Driven to Discover


Request Services

Use this form to request observations, evaluation, and/or consultation services for your organization. This form is an inquiry and does not commit you to services. Andrea Peterson will contact you to follow up on your request. Alternatively, you may contact Andrea at peter327@umn.edu or 612-625-1464.

1. Contact Information (Required)

Name of organization:

Contact person:

Job title:

Street address:

City: State: Zip:

Phone Number:

Fax Number:

Email:

2. What kind of service are you requesting?

Observation     Evaluation     Consultation

3. Describe the service you are requesting.

 

Please check to see that you have fully completed the Contact Information and Service Request. Then click the "Submit" button to send your request. You will receive a confirmation email that your request was successfully submitted. This form is an inquiry and does not commit you to services. Our Services staff person, Andrea Peterson, will contact you soon to follow up on your request.


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The University of Minnesota is an equal opportunity educator and employer
Last modified on May 16, 2011.