SVPE and VOICES Peer Educator Request Form
The Office for Sexual Violence Prevention and Education (SVPE) believes that education is a powerful tool in the prevention and response to gender-based violence. This form is intended for individuals, student organizations, faculty, and staff seeking tailored educational sessions or workshops on topics related to gender-based violence, including healthy relationships, conflict management, and bystander intervention. Please complete the form below to help us better understand your needs and how we can support your efforts to foster safe, respectful, and inclusive environments.  

If you have questions, please contact us at svpe@vt.edu. 
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Requestor Name:
Requestor Email:
Who is the audience (organization, department, class, etc.)?
What is the expected number of participants?
What are the preferred dates/times for the program?
(We ask that requests are submitted two weeks prior to the program request date.)
Where will the program be hosted?
(Include address, tech accessibility, or note if you need us to provide a venue)  
What topics are you most interested in?
Facilitator type: We offer programs facilitated by both professional staff and VOICES Peer Educators. Please indicate which type of facilitator you would like.
(Note: Peer educators offer education on general information about SVPE, bystander intervention, consent, healthy relationships, and understanding gender-based violence)
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Are there any specific concerns, issues, or incidents that led to this request?  
Where did you hear about us? *
Is there anything else that you would like SVPE to know about the audience?
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