Don't Cancel That Class
Please complete the form below if you would like us to arrange a presentation or workshop for your class.
Contact Information
First Name:	*Required
Last Name:	*Required
Class Name:	*Required
Class CRN:	*Required
Phone:	*Required
Email:	*Required
Email Confirmation:	*Required
Presentation/Workshop Information
Presentation:	Life Fitness Goals: Balancing Your Life QPR (Question, Persuade, Refer) Suicide Prevention Gatekeeper Training Sleep and Stress Connecting to Student Success SMART Goals: How to Summit a Mountain StepUp! Bystander Intervention Stress Busting & Resiliency 101 Stress Management Using Motion & Meditation! *Required
Reason for Request:
Preferred Dates and Times
Please indicate the dates and times you would like a presentation/workshop. We will make every effort to accommodate your request.
Date:	*Required
Class Time
Starts:	*Required
	Type 'A' or 'P' to switch AM/PM
Ends:	*Required
	Type 'A' or 'P' to switch AM/PM
# of Participants Expected:
Do the students know there is a guest speaker?	Yes No
Building/Room #:	*Required
Does the room have A/V equipment?	Yes No
Would you like the presenter to take attendance?	Yes No
Additional Information: