Someone will reach out to you soon after you submit your workshop request to let you know if the date and time you requested are available for one of our Health Educators to present.

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* 1. Your full name:

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* 2. Your email:

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* 5. Please tell us some information about your audience (e.g., first-year students living in Max Palevsky, Harris graduate students, student RSO leaders, etc.):

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* 6. Date and time of workshop:

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Time

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* 7. Expected number of attendees:

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* 8. Location (Zoom, building, room number):

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* 9. What are your goals for this workshop? What do you hope the participants will learn by attending?

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* 10. Other details or comments:

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