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Instruction.
Thanks for using a the Outreach Request Survey. When you're ready to go, please complete the information below.
Q1.
I am a
Student
Faculty/Staff
Community Member
Q2.
Enter your contact information
Input full name
Email
Phone Number
Q3.
What type of outreach would you like?
Resource Table
Interview
Presentation/Training
Volunteers from UCC
Consultation/Liason
Social Media
Something else
Q4.
What will be the outreach topic?
General Mental Health
UCC Services
Diversity/Identity
Crisis Response
Trauma/Violence
Sexual Health
Body Image
Suicide/Self-injury/Gatekeepers
Volunteer
Alcohol & Drugs
Mindfulness
Something else
Q5.
When do you want the outreach? (UCC staff typically need 2 weeks notice to fulfill outreach requests)
Date (format = mm/dd/yyyy)
Time
Q6.
Where will the event take place? (It is the requestor's responsibility to book a location, follow all health protocols)
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