Outreach Request Form
Request For: Campus Events, Educational Materials, Condom / Dental Dam / Lube Packets, Student Projects (Interview or Video), Etc.
All approved requests will receive a confirmation within 10 business days.
Health Promotion Specific:
- Campus Event, Presentation, or Education material requests must be submitted at least 10 business days in advance.
- Barrier Necessities (condoms/dental dams/lube) and Student Projects requests must be submitted at least 3 business days in advance.
- Requests submitted with 30 days’ notice will be fulfilled as schedules allow. Any requests with less than 30 days’ notice will be given alternative outreach resources.
- Please include alternative dates and times.
- Preference is given to those that schedule a semester in advance.
- Only one request per program or event will be approved.
The following information will be sent via unencrypted e-mail. If you prefer, you can complete an event request form in our office.
Please enter your group information below and select "Submit" at the end of the form.