Presentation Request Form
To request a presentation, please be sure to fill out the entire form and submit. The Center for Alcohol and Other Drugs Resources and Education will be in contact with you to confirm presentation details. 

Please note, presentations typically last one-hour and require audio visual (A/V) access. 
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Email *
Contact Name *
Date of Presentation *
MM
/
DD
/
YYYY
Presentation Time *
Time
:
Duration (in minutes) *
Presentation Location *
Number of Participants *
Do you have A/V access? *
Presentation Topic *
Comments or Additional Information
A copy of your responses will be emailed to the address you provided.
Submit
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