CSU Health Insurance Education Project: In-Class Presentation Request Form

The following form is for San Jose State University faculty to request a Certified Covered California Educator provide a 5, 10, or 15 minute educational presentation to his/her students 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. If you teach multiple classes, we are happy to accept multiple presentation requests from the same faculty member.

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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    Class Request #1

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    Additional class presentation requests can be submitted on the following page. To submit the form without requesting additional class presentations, please press continue below and then scroll to the bottom of page 2, and click "submit."

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