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Wellness Center Program Request Form

Request must be submitted at least 2 weeks prior to desired event date.

  • Timing: Sessions are approximately 45 minutes to one hour long, depending on the topic.
  • Advertising: Requestor is responsible for advertising the program. A minimum of 10 students are required for a program to take place.
  • Topics: Listed below are suggested topics. We can also customize a program to meet your needs.
  • Cost: Most programs are free of charge. However, there is a cost to bring in outside professionals, such as a massage therapist or dietician.
  • Suggestion: We suggest you provide food or offer a meal plan exchange to increase the number of residents who attend.
  • Please Note: Only RA’s and AC can request floor programs. If you are interested in having one of the programs listed below on your floor, please contact your RA/AC.

Name:
E-mail:
Hall:
Desired date of event: Please list first and second choice (required)
Second Choice:
Time: Please list a first and second choice (required)
Second Choice:
Location of event:
Estimated # of participants:
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