Health Enhancement can provide a speaker for your residence hall, organization, or class. Please complete as much of the information below that you can and we will get back to you to confirm an event. Provide as much detail as possible. Contact Sherry, Health Enhancement Secretary to schedule by phone (815)-753-9755 or to speak to a health educator about planning a successful event.
Your First Name:
Your Last Name:
Phone Number:
Group/Organization:
Your E-mail Address:
Presentation: Residence Hall Academic Class Student Organization Other
Event:
Topic/Subject Requested:
Program Description : (no more than 100 words)
How soon is the Program desired: (no more than 50 words)
Day of Week Preference: Monday Tuesday Wednesday Thursday Friday Saturday
Time Preference: Morning Afternoon Evening
Location :
Audience: Primarily 1st/2nd year students Primarily 3rd/4th year students Other
Gender of Audience: Male Female Mixed
Expected Attendence :
Special Request