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Health Enhancement can provide a speaker for your residence hall, organization, or class. Please complete as much of the information below that you can and we will get back to you to confirm an event. Provide as much detail as possible. Contact Sherry, Health Enhancement Secretary to schedule by phone 815.753.9755 or to speak to a health educator about planning a successful event.

• Program Requested by:

  • Your First Name:
  • Your Last Name:
  • Phone Number:
  • Group/Organization:
  • Your E-mail Address:
• Type of Request:

  • Presentation
  • Residence Hall
  • Academic Class
  • Student Organization
  • Other Event:
  • Topic/Subject Requested:
  • Program Description : (no more than 100 words)
    
• Logistics:

  • How soon is the Program desired: (no more than 50 words)
    
  • Day of Week Preference:
    • Monday
    • Tuesday
    • Wednesday
    • Thursday
    • Friday
    • Saturday
  • Time Preference: Morning Afternoon Evening
  • Location:
  • Audience:
    • Primarily 1st/2nd year students
    • Primarily 3rd/4th year students
    • Other
  • Gender of Audience: Male Female Mixed
  • Expected Attendence:
  • Special Request