Please take a few minutes to fill out and submit the program request form below. Note that we request a two week notice for these programs. We may not be able to accommodate short notice requests.

Due to high clinical demand, we are unable to honor general classroom outreach requests for dates after October 15th of the fall semester and after March 1st of the spring semester. Exceptions will be made for urgent or extenuating circumstances and will be decided on a case by case basis. If you believe your request meets these criteria, please explain in the comment section. These limitations will end after finals week each semester. We appreciate your understanding.
  • Your Information

  • Contact Information

  • Program Information

  • We are only able to honor one topic per outreach request so please do not list more than one. Classroom outreaches will be limited to 30 minutes or less and an instructor must be present.

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  • Submit Form

  • By submitting this form, I understand that this is only a request.