Program Request Form
The Wellness Resource Center has so much to offer in regards to educational programming! Both our HEART Peer Educators and professional staff members facilitate programs, trainings, and other opportunities to assist you in educating Owls all over campus!
For regularly offered programs and tabling requests, we require at least 2 weeks' notice from the requested date(s).
We are happy to create a custom program to suit your needs; however, we require at least 4 weeks' notice for custom programs and a planning meeting or phone call to ensure that the goals of the custom program are clear. If you can provide more than 4 weeks' notice, it is greatly appreciated.
Cancellation: If you need to cancel a program once it is scheduled, we require 24 hours' notice via email.
You will be contacted by a staff member once your request has been received. If you have questions about your request, please email us at
or call us at 215-204-8436.
Your TU email address.
What is your department or student organization?
What is your reason for requesting a program?
Number of anticipated attendees.
Over 50 *Please note that for programs with more than 50 attendees, we require 4 weeks notice
Location for the program.
Please provide your preferred date for the program.
Start Time (or the time you need the WRC to begin at your program)
End Time (or the end time you need the WRC to be present at your program)
Please share what technology will be available at the session location. Check all that apply.
Projector & Screen or Wall
The location is TBD / I'm not sure
If we are unable to accommodate your initial date/time requested, please provide an alternative date and time. If the date/time you provided is the only available date, please say so below.
Is there anything else you'd like us to know about facilitating a program for you? Note: If you are requesting a custom program, please provide details and context here for what you are requesting.
Who would you like to facilitate this program? (Note that program offerings may differ based on facilitators. See our website for more details)
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