Presentation Request Form

Health Education - Presentation Request Form

If you wish to request a presentation this semester, please complete the following information.

Note: Please submit your request at least two weeks in advance. The program will be confirmed by phone.

Class/Organization
Anticipated number in attendance
Date of presentation
Time
Location

Contact Person(s) with phone number(s)

Additional comments about needs and interests of audience:

Choose a presentation topic:
The topics are: Health Jeopardy; Nuts and Bolts of Nutrition; Breasts, Boobs, Bumps, and Beads; Personal Health TWISTER; Sex Talk; Women's Health; Men's Health; An AIDS Journey; Sex Tac Toe; Sex in the City; Sexual Health BINGO; Family and Substances; Alcohol/Marijuana and the Law; Substance Use and Sexual Health; Myths of Marijuana; Club Drugs; Don't Leave Dick for Dead