Workshops & Trainings | Services

Workshop/Training Request Form

Please fill out the following information to request a workshop or training session from the Health Education department. Please note that requests must be submitted two weeks prior to the desired date. Health Education staff will coordinate with you to reserve space and gather any equipment & supplies necessary.

For Athletic Teams requesting their annual sexual respect session under the 4-Year Athletic Sexual Respect Curriculum, please click here visit tinyurl.com/SRathletics and contact lakelly@amherst.edu with questions.

Name:

Email:

Associated Group(s):

Three Options:

Please provide three options for the desired date/time of the program.

Date Option 1:

Date Option 2:

Date Option 3:

Duration:

Expected Number of Participants:

Type of Workshop:

If Selecting:

Please Note

If selecting AOD, Sexual Respect, or Health Education topics...

What prompted the request?:

Have you received similar workshops/trainings before?

Yes

If yes, please describe previous sessions.:

What are your goals for this session?:

Is there anything else that would be important for us to know about this request?:

What text is in the image?:

Enter the characters shown in the image or use the speaker icon to get an audio version.

Health Education Workshops & Trainings

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Workshop/Training Request Form

Please provide three options for the desired date/time of the program.

Please Note