Peer Support Workshop Request

Your Name(Required)
eg. Club name, undergrad society, sorority/fraternity, etc.
Which Workshop or Training(Required)
Would you prefer an in-person or virtual workshop?(Required)
If you selected In-Person, do you have a space available on campus to host the workshop?
If not, we may be able to help find a space.
Requested Date(Required)
Requested Time(Required)
Back-up Date(Required)
If requested date is not available
Back-up Time(Required)
If requested time is not available
Are there any additional notes you would like to pass along to help us process your request?