Wellness Program Request Form

Is your group wanting to learn more about health and wellness? Do you have a specific topic in mind or an idea for a program or presentation? We offer a variety of health and wellness programs for our campus community. If you are hosting an event of your own, you can also request counselor support to be present at your event.

To request a presentation, please fill out the form below. If a specific topic is not listed below, select the health and wellness category that best fits your request and describe your topic under "other." Presentation requests must be made at least four weeks in advance. This allows us time to coordinate staff coverage for requests and other details.

 

Contact Information

Engagement Details

Note: Requests must be made four weeks in advance.

 +
 +

Presentation Topic

Request for counselor support at other events *

captcha