You must have JavaScript enabled to use this form. If you would like to host a workshop or seminar for your Department or Division, please let us know. We will discuss the topic with you and find the most appropriate speaker. Academy of Health Science Educators Affiliation - None -TraineeMemberFellow First Name: * Last Name: * UNID (e.g. 00123456): * Email: * College/School: * Department: * Degree(s): Description of topic requesting workshop or speaker for: * Leave this field blank