Program & Event Request Form
Our staff and peer health educators are available to provide a variety of programs and guest speaker presentations to help promote health and wellness here at Western. To make a request, please complete all sections of this form (as applicable) – the more information provided, the easier it will be to follow up on your request.
We ask for a minimum of 2 weeks advance notice to schedule any of our core programs that are packaged and ready (i.e. Cookies & Condoms, etc.). More time may be needed to prepare programs on other topics or that require customization to meet your group’s needs, including developing graphics andpromotional materials. We will work with you to fulfill your request as soon as possible!