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Program Request Form 2016-2017
WELLWVU will present interactive, engaging, and educational programs free of charge upon request for groups of students. Presentations can be tailored to the needs of sororities, fraternities, classes, student organizations, or other types of groups.
To view a brief description about each of the programs we currently offer, please visit the
. If you don't see the program you were interested in, feel free to suggest a new one.
Please enter the name of the program you are interested in:
Who is the intended audience/group?
What is the expected attendance?
List two learning outcomes that you'd like to see as a result of this program.
Please suggest at least three dates and times for the Wellness Program.
Please list the location for the Wellness Program.
Please select the length of the Wellness Program.
First and Last Name
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