Hundley Health Education Center Program Request Form
Time Elapsed:
0
seconds
Time Remaining:
0
seconds
Total Time:
0
seconds
Anonymous Login Code:
Code Entry Page
Save this code which is required to update your response at a later time.
Page 1 of 1
1.
Name
*
2.
E-mail
*
3.
Phone Number
*
4.
Who is this presentation for? (ex: UNI 101, PED 101, Greek Life, Student Organization)
*
5.
Preferred day & time (Two or more weeks from today's date)
*
6.
2nd preferred day & time (Two or more weeks from today's date)
*
7.
Location (building and room number or Zoom link)
*
8.
How many people are expected to participate/be in the audience? (minimum 5 participants)
*
9.
Please select from the following programs:
Visit our website for program descriptions.
*
Select at least 1 and no more than 3.
Are You Smarter Than a Food Label?
Drinking, Are You Doing It Right?
Hosting Hacks
Mind Matters
Nutrition Myths
Pick Your Poison
Plan Like a Pro
Roasting & Toasting
Sex On The Big Screen
Trust Your Gut: Make Peace With Food
Women's Health & Hygiene
You're More Than Just a "Like"
ZZZ's Get Degrees
10.
Additional information, comments, or questions:
Please click "DONE" to submit. Thank you!