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Peer-Led Workshop Request Form
The CAPS Peer Education Program (PEP) offers three different workshops to the UCSC campus community:

*Stress Less
*Overcoming Test Anxiety
*How to Support a Friend

Thank you for your interest in our programs - We are excited to visit your dorm, student org or class to talk more about these important topics! Please complete this Request Form 2-3 weeks in advance of your preferred dates.

After receiving your request, scheduling will be discussed among our Peer Education team. We meet to discuss your scheduling (almost!) every Friday during the academic year, and we will do our best to provide you with confirmation within one week of receiving your request.

Gentle reminders to be aware of:
*Workshops are only scheduled during the academic year, typically between weeks 2-8.
*Workshop scheduling is limited to our busy undergraduates' availability, so we will do our very best to accommodate all requests!

Please direct scheduling-related questions to Aditi Sheth, PEP Volunteer Workshop Coordinator: agsheth@ucsc.edu

Please direct program questions or feedback to Emilie Cate, PhD, CAPS PEP Program Coordinator: eecate@ucsc.edu

Name
Your answer
Phone
Your answer
Email
Your answer
Which workshop are you requesting? (for workshop descriptions, please visit: http://caps.ucsc.edu/groups-and-workshops/pep_workshops.html)
What program or student org are you affiliated with? (ex: RA/CA at Oakes, EOP peer advising, OPERS, etc)
Your answer
Location
Your answer
Are you able to provide a reserved room or space with internet access, a projector and speakers please?
If you answered "no" the last question, please explain what you are unable to provide from the list of needs above? (Due to limited resources we will do our best to accommodate you requests.)
Your answer
What is your first choice for a presentation date?
MM
/
DD
/
YYYY
What is your second choice for a presentation date?
MM
/
DD
/
YYYY
What is your third choice for a presentation date?
MM
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DD
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YYYY
What is your preferred time of day?
Required
How many participants do you expect will attend? (The workshop is designed ideally for groups of 4-16 students.)
Your answer
How did you hear about us?
Your answer
Any final comments or questions? We will do our best to respond within one week of your request! Thank you for your interest in CAPS PEP!
Your answer
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