Oregon State University

Request a Program

Request Form

The Health Promotion Department at Student Health Services is dedicated to educating students and to providing information regarding a wide variety of health issues. If you would like to have someone from the Department come to your place (residence hall, community, class, etc.) to give a presentation, facilitate a discussion table or provide health education materials, please complete the form provided below. Completing the form completely will expedite the process. For preparation and planning purposes, please make your request at least two weeks in advance, if possible.

Topics for Discussion
(please do not select more than two topics per presentation)
Presentation date:
minutes
Do they have equipment we can use during the presentation?
VCR:
Monitor/Computer:
Enhanced Classroom: