Presentation Request

Full Name *

Email *

Telephone *

Desired Presentation Date/Time *

Time allotted for presentation (15-90 minutes) *

Number of Participants *

Type of Audience *

For example: Student Athletes, Professional Campus Staff, Community Partner etc.

Location *

Please be as specific as possible.

What technology is provided? *

Laptop

Projector

Screen

Internet

Microphone

Select all that apply.

What is the purpose of this presentation? What would you like covered? *

Generally, Survivor Advocacy presents on the following topics: sexual violence statics and prevalence, and campus & community based resources and reporting options related to sexual and gender based violence. Requests for presentations outside of this scope will be approved on a case-by-case basis.