CSU Health Insurance Education Project: Presentation Request Form for Campus Events

The following form is for San Jose State University student leaders and staff to request a Certified Covered California Educator provide a 5, 10, or 15 minute educational presentation to students (and their families, if applicable) on how students and their families can access health care coverage under the Patient Protection & Affordable Care Act.

Presentation requests can be scheduled anytime during the Fall 2013 and Spring 2014 semesters. Presentations are only available to SJSU students. We will come to your meetings, orientations, campus events, etc.!

Please provide at least three days advance notice for requests. We will try our best to meet your scheduling needs. Thank you! Questions? Contact the CSU Health Insurance Education Project SJSU Campus Coordinators & Certified Covered California Educators: sjsuhiep@gmail.com.

    Contact Information

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    Campus Event Presentation Request #1

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    A second request can be submitted on the following page. To submit the form without requesting an additional presentation, scroll to the bottom of the following page (page 2), and click "submit."