Don't Cancel That Class: Request Form

We are looking forward to working with you and providing class coverage for your students. Please fill out the form below as thoroughly as possible. You will hear back from us within 4-48 hours, depending on the time sensitive nature of your request.

If you have any questions, please reach out to beth.stark@unh.edu. Thank you!

Full Name

Title

Email Address

Phone Number

College

Course Name

Class Date

Class Start/End Time

(please enter the time you would like us to start and end. Our presentations are typically 50 minutes.)

Location

Number of Students

Are your students:

Undergraduate

Graduate

Mix of undergraduate and graduate

Will you be at the class when we present?

Yes

Our programs are provided by professional staff and in some instances trained well-being interns (who are UNH students). What is your preference:

I prefer a professional staff member teach the session

I am open to a trained well-being intern teaching the session

I am open to a professional staff member or intern teaching the session

Check this box to verify that AV is available in the classroom.

Which program would you like to request?

If you’d like to request more than one topic, please submit additional request forms.

The Meaning of Wellness

The Meaning of Stress

How Are You��Really? Coping with Mental Health Challenges

Let's Talk Diets

Intuitive Eating

Alcohol 101

Cannabis 101

If you would like for us to tailor the program to your class material, please explain:

What would be helpful for us to know about your class and/or students?

Additional comments:

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