Inqueery Peer Education Presentation Request Form

 

Check all that apply.

required2. UIS Affiliation

Check all that apply.

 

 

 

 

 

Please note that most of our programs are 60-90 minutes in length.

Please note that most of our programs are 60-90 minutes in length.

 

 
required10. Please indicate which program(s) you are interested in.

 

 

 

 

 

 

This question will help us understand the topic(s) you are most interested in particularly if none of the four available programs suits your needs.

17. Please check specific topics you are interested.

This question will help us understand the topic(s) you are most interested in particularly if none of the four available programs suits your needs.

 

Include your email address in your submission to:

  • Get a copy of your answers