ICARE and IHHR Workshop Request Form
At the Women's Resources Center, we offer two peer-led workshops on gender-based violence prevention: ICARE (bystander intervention) and I Heart Healthy Relationships. Both workshops are 60-90 minutes long and are offered to established groups and organizations on campus.

In ICARE, students dialogue with peers in their organization about consent and sexually disrespectful behavior, understand what helps people intervene in sexually disrespectful situations, set a group norm in which sexually disrespectful behavior is recognized as a problem and active bystander behavior is promoted, and learn a variety of intervention skills.

In I Heart Healthy Relationships (IHHR), students dialogue with peers about what healthy dating relationships entail, how to communicate effectively, what is needed and what should be avoided in a relationship, how to support survivors of domestic violence, and what support services are available on campus.

If your group or organization would like to request an ICARE or IHHR workshop, please fill out the following information, and the workshop coordinator (icarestaffuiuc@gmail.com) will get in contact with you to set up a workshop.

If you have concerns, questions, or think a different, more customized workshop might better meet your needs, contact Molly McLay at mclay1@illinois.edu.

Organization and Participant Information
Organization Name *
Your answer
Which workshop are you requesting?
How many participants do you anticipate will attend the workshop? *
Can you tell us about the participants? *
Please describe the population the workshop will be given to, including any special needs (if applicable). If there are any specific topics pertaining to ICARE / IHHR that your population is interested in, please list them here so the facilitators can address them.
Your answer
Workshop Request Information
In order to request a workshop, we ask that you have a space prepared to host the workshop.

If you're reserving a room, please reserve the space for a minimum of 2 full hours. For example, if you're requesting a workshop with a 7 PM start time, please have your workshop space reserved from 6:45 to 8:45 PM so the facilitators can prepare the workshop space before the workshop begins and assist participants after the workshop, if necessary.

Additionally, the workshop space must have a functional computer, as well as AV equipment (projector, projection screen, and audio speakers). If the space does not have this equipment, it is up to the organization to provide it.

Where do you plan to host your workshop? *
Please list a location for your workshop and an alternative location if possible. When listing your workshop location, please include the corresponding street address.
Your answer
When would you like to schedule your workshop? *
Please select a date and start time for the workshop you'd like to request.
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Please select an alternative date and time for your workshop, if you can.
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Time
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Please select from the following list what materials are available/you can provide or at your workshop space: *
Your organization MUST be able to either supply (or book a space with) a computer and AV equipment, at minimum. The facilitators will bring whatever necessary materials you cannot supply.
Required
Organization Contact Person Information
Fill in details about your organization's contact person below. This person will be responsible for communicating with the workshop coordinator (will be emailing from icareuiucstaff@gmail.com) to set up a workshop.
Name *
Your answer
Email *
Your answer
Phone Number *
Your answer
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