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Contact Information
First Name
Last Name
Email Address*
Phone
Best number to reach you.
Position on Campus
Faculty
Staff
Student
Community Member
Other:
Presentation Information
Name of class or Organization
Date
Time
am
pm
Presentation Length
50 minutes
Other:
An instructor will contact you to customize your presentation length.
Presentation Type
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UChoose Presentation
Hey, You Ok?
Recovery Ally Training
Health & Wellness Resources at SCSU
Wellness Coaching
QPR (Question, Persuade, Refer)
Number of People Expected
Presentation Location
Describe your audience:
Are there any special concerns or issues that we should know about that might help us customize our program to fit your needs?