Workshop/Presentation Request Form
Thank you for your interest in a Wellness Promotion and Education program. Please plan
ahead and make your request at least two weeks in advance of your preferred date. If you
need assistance completing this form please contact us at 805-437-3521 or
firstname.lastname@example.org. We look forward to working with you!
Affiliation to CSU Channel Islands
Department or Student Organization name
Wellness Promotion & Education is able to provide training workshops and educational
presentations on topics such as; alcohol, contraception, general wellness, healthy eating, sexual
and reproductive health, stress management, sleep hygiene, and tobacco/hookah/e-cigs. At times
we may be able to develop a customized workshop based on your request. Please note that
trainings are intended for groups of 5 or more participants.