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WKU Health Education & Promotion Presentation Request Form
If you have trouble with this form or need additional assistance, please contact: Health Education and Promotion at
healthed@wku.edu
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Name
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Your answer
Email address
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Your answer
Phone Number
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Your answer
Choose the Presentation Topic:
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Alcohol and Drugs
Body Image and Eating Disorders
Birth Control
Eight Dimensions of Wellness
Healthy Relationships
Mental Well-being
Safe Spring Break
Sexual Health
Sleep
Stress and Time Management
Other:
If other presentation topic selected, please explain below.
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Are there any specifics/additional information you would like to be included in the presentation? If yes, please explain below.
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Please indicate two possible dates for the presentation.
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Would you prefer this presentation to be held virtually? (i.e. through Zoom or any other online platform)
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Yes
No
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