Request a Performance

Requester First Name:

Requester Last Name:

Phone:

Email:

Department:

Course Title:

Class Personality:
1(Shy) 2 3 4 5(Extroverted)

Request Length For Presentation:
30 min 50 min Other:

Preferred Date:

Time:

Location:

Optional Date:

Time:

Location:

What level of understanding does your group have concerning bystander intervention, consent, sexual violence, and intimate partner/domestic violence?

How have you prepared your class for this performance?

What topics, generally, would you like the performance to focus on? (i.e., consent, sexual violence, domestic violence, etc.)