JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Presentation Request Form
Presentation Request/Group Workshop Request Form for your class or group. All Presentations will be done virtually. Please make requests at least 2 weeks in advance.
Sign in to Google
to save your progress.
Learn more
* Required
REQUESTOR INFORMATION
Name (Pronouns)
*
Your answer
Title/Job Title
*
Your answer
Organization or Class
*
Your answer
Email address
*
Your answer
Phone Number
*
Your answer
Name of Event or Reason for Requesting Presentation
*
Your answer
PRESENTATION INFORMATION
Number of Expected Students
*
Your answer
Type
*
AcSEXsories
Bystander Intervention
Alcohol and Other Drugs
Nutrition
Mobi
Nutrition Basics
Recovery
Healthy Eating on Campus Walking Tours (Aztec Student Union or Trader Joes)
Healthy Eating Using Your Meal Plan
Cooking Healthy in the Kitchen
Contraception Methods (Learn about the many different types of birth control or contraceptives available today.)
Sexually Transmitted Infections (Education & Prevention)
Gynecological Exams & Contraception Methods
Sexual Violence
FratMANers and SISSTER presentations
Healthy Relationships and Dating Violence
Sexual Violence Awareness, Prevention, and Intervention/Consent
What Do You Get With Your Tuition? Health & Wellness Resources at State
Health Away From Home
Sleep Strategies
Other:
Required
Would you prefer a virtual or in-person presentation?
*
Virtual
In-Person
Other:
If in person, PowerPoint Capabilities in Location?
*
Yes
No
n/a
Preferred Date and Time for Presentation
*
MM
/
DD
/
YYYY
Time
:
AM
PM
Second Choice for Date and Time for Presentation
MM
/
DD
/
YYYY
Time
:
AM
PM
Other information
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of San Diego State University.
Report Abuse
Forms
