Healthy Campus Initiatives
Program Request Form

Please give 14 working days notice at minimum.

For Alcohol Awareness/Sexual Health Jeopardy, please provide a projector, screen, and a VGA cable. RAs and RDs are expected to collaborate with other floors and halls to open the program to more students.


Name:
Organization:
Program Requested:
1st Choice Date/Time:
2nd Choice Date/Time:
3rd Choice Date/Time:
Cell Phone (For events starting after 4:30pm):
Email: