The SHADE program request form is tailored to Community Advisors,
Greek educational chairs, and club or student center leaders who are
interested in organizing a program of interest from SHADE. Fill in
the details of the program of interest, your contact details (as the
program planner) and information about your audience.
Program Topic:
Organization/Housing Unit / Class:
Preferred Date and
Time:
Alternative Date
and Time:
Would
you like a SHADE student to facilitate discussions?*
Yes
No
Would
you like a discussion question list?*
Yes
No
* For "Sex Ed Video Festival" Program Only
Program Planner Information:
Name of Planner:
Phone Number:
Email Address:
Audience
Information:
Audience Gender:
Expected
Attendance:
How did you
hear about SHADE programs?
Poster
Class
announcements
Fliers
E-mail
House
announcements
Other
Additional comments: (Any special program needs or requests?)
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