MSU Sexual Assault Program Community Outreach Request Form
Please complete the form below. Direct your questions to Tana Fedewa, Sexual Assault Program Coordinator at tanaf@cc.msu.edu
Email address *
Type of Request *
Required
Are you requesting a SAP Professional or a SACI Volunteer? *
Name of Event
How should we reference this event?
Date of the Event *
MM
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DD
/
YYYY
Time of the Event *
Time
:
Anticipated Length of presentation *
Event Description *
Your answer
Expected Audience *
Required
Estimated number of attendees *
Contact Person *
Your answer
Email address *
Your answer
Phone Number *
Your answer
The date of this request *
MM
/
DD
/
YYYY
You must submit requests 1-2 weeks before the actual event. We will make every effort to fulfill your request, if we are not able to we will notify you.
Your answer
Additional Comments or Information
Your answer
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