Requestor/Contact Person Info Name (First & Last) Pronouns Requestor/Contact Person Email Address Phone Number Name of the department, office, organization or group for presentation Select the presentation or program you're interested in - None -CARE 101Big Red Bystander InterventionConversations About ConsentSexual Assault and Relationship Violence (SARV) TrainingResponding to DisclosuresPop Culture TriviaBad Relationship Music Bingo Preferred Presentation Dates Please provide your preferred dates. At least 2 weeks advanced notice is required. 1st Choice Date 1st Choice Time 1st Choice Time: Date 1st Choice Time: Time 2nd Choice Date 2nd Choice Time 2nd Choice Time: Date 2nd Choice Time: Time 3rd Choice Date 3rd Choice Time 3rd Choice Time: Date 3rd Choice Time: Time Presentation Info Who will be in the audience? (Check all that apply.) - None -Residence hall/floorFraternity or sorority chapterRecognized Student OrganizationUNL staffUNL facultyAcademic classCommunityOther Other - please explain below. What is the approximate group size? Event location How would you like the training delivered? - None -In-personVirtual Is there any other information or special request you'd like us to know? How did you hear about our presentations/panels/workshops? Check all that apply. - None -From the websiteFrom a colleague or classmateFrom an email or news articleFrom social mediaFrom a brochure or pamphletFrom other print material (flyer, handbill, etc.)From another event I attendedI have requested presentations in the pastOther Other - please explain below. Leave this field blank