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!
** A NOTE ABOUT SPRING 2021 REQUESTS **
To ensure the health and well-being of our volunteer HEART Peer Educators, all peer-facilitated programs requests will be facilitated virtually for the Spring 2021 semester. We are happy to coordinate a Zoom link or virtual space for discussion, but will not be offering in-person presentations at this time.
Peer-Facilitated Programs are scheduled during the semester and require two weeks' notice to coordinate with student peer educators. Please be mindful of when requests are submitted - dates within the first two weeks of the semester and right after mid-semester breaks are difficult times to schedule and we may not be able to meet your request. We appreciate your understanding.
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.
8-20 * We ask for a minimum of eight confirmed attendees
Over 50 *Please note that for programs with more than 50 attendees, we require 4 weeks notice
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)
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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This form was created inside of Temple University.