Healthier U Program Request
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I understand and agree that the Healthier U Advisory Committee reserves the right, in its sole discretion, to accept or reject any request for promotion of any event or program.
Required
Program Contact Information
First Name
Your answer
Last Name
Your answer
Department/Business/Organization Name
Your answer
Phone Number
Your answer
Email Address
Your answer
What is the title of your event/program?
Your answer
Please provide a detailed description of the program, including approximate length?
Your answer
Will you need Audio/Visual resources for your event/program?
Is there a maximum number of participants?
Are you interested in making your program/presentation into a webinar?
(We at Healthier U will assist in the setup and coordinate resources. The webinar will allow participants to attend virtually and allow participants to view at a later time at their leisure.)
Availability/Desired event/program time?
(check all that apply)
12:00-1:00pm
12:30-1:30pm
5:15-6:15pm
5:30-6:30pm
Other
Monday
Tuesday
Wednesday
Thursday
Friday
Time & Location Statement
Please visit the link below to find a parking map if you are traveling from outside the University. Please be sure to park in a designated area, metered space or garage as Healthier U is not responsible for parking tickets.
Required
Please email any supporting documents (including resume, presentation, etc.) or questions to the Healthier U Programming & Budget Committee Chairs at:
dean.bowen@stonybrook.edu Your documents will be reviewed by the Healthier U Committee and will be kept confidential.
Does your event/program meet the Healthier U Criteria Guidelines? (check all that apply)
Required
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