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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