Peer Education

Classroom Request Form

If you are interested in having our Peer Educators present to your group, please fill out the application below.

  Freshman   Sophomore   Junior   Senior   Grad

  Other (Please indicate)

1st Choice: 2nd Choice: 3rd Choice:

AM PM

Building: Room:

:

DVD

VHS

PowerPoint Projector

Smart Room

Overhead Projector

Please indicate the number of women and men
Women

Men