Basic Needs Security Community Presentation Request Form
For any people, organizations, clubs, classes, and media teams that would like a UCB Basic Needs team representative to present on UC/UC Berkeley basic needs efforts or who have outreach questions. All requests should be made at least 2 weeks in advance. Approval of the requests will be based on coordinator availability and logistics involved. Thank you for your interest in learning about UCB Basic Needs initiatives!
Email address *
Organization/Class/Office Name, Point Person *
Your answer
Organization/Company/Office Point Person Email *
Your answer
Organization/Class/Office Point Person Phone Number *
Your answer
Point Person Preferred Pronouns (if comfortable sharing)
Your answer
Requested Presentation/Outreach Event Date/Time/Location + Description (format, topic, audience, etc.) *
Your answer
What would you like us to focus on?
What type of request is this?
Any additional details not mentioned above?
Your answer
Submit
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