Peer Program Presentation Request Form: Project D.A.T.E. Fall 2019
Project D.A.T.E. (Discovering Alternative for Today’s Encounters), is a peer education program through University Counseling Services that conducts psycho-educational presentations on the psychological and cultural issues related to rape or rape culture. Our presentation highlight key terms around sexual violence (e.g. affirmative consent, etc.), statistics on sexual violence as they relate to diverse communities, challenge ideas that perpetuate rape culture, strategies to support self and others around issues of sexual violence, and resources and methods to assist students in themes such as sexual assault, violence, and rape.

You will receive an email within a week of your request as confirmation.

For questions, please email Steven Wang (Peer Education Coordinator) at Steven.Wang@csun.edu
First/Last Name of Peer Educator Generating Presentation (For Professors: Please mark: "N/A") *
Your answer
Person A (For Professors: Please mark: N/A) *
Your answer
Person B (For Professors: Please mark: N/A) *
Your answer
Date of Presentation (Please schedule presentation at least 7 days from today) *
MM
/
DD
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YYYY
Time of Presentation (e.g. 8:30 AM) *
Time
:
Length of Presentation (e.g. 30 minutes - 1hr) *
Professor's Name *
Your answer
Professor's Email Address (e.g. Matty.dor@csun.edu) *
Your answer
Course Number (e.g. Psych 321, Soc 1, etc.) *
Your answer
Class Size (e.g. 30 students) *
Your answer
Room Location (e.g. SH 214) *
Your answer
What technology is available? (e.g. Smart Room, Black Box access, etc.) *
Your answer
Additional Comments/Feedback? (If none, please mark: N/A)
Your answer
Thank you for scheduling a presentation with the Project D.A.T.E. program! Within a week (usually within 72 hrs) of submitting your request, we will send you a confirmation email of your scheduled presentation with your request details.
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