Current Presentation Request Agreement Complete I agree Required Please submit requests at least 2 weeks prior to the intended program date. While we do our best to accommodate all requests, please be aware that scheduling limitations may arise. Please thoroughly review the presentation descriptions before submitting your request and note the amount of time each need in order to cover necessary information. Once your request has been received, a CARE team member will contact you to set up a brief meeting to discuss the goals of your session (usually within 2-3 business days). CARE can work with your group/organization/department to tailor a training session to your specific needs. Please allow us time to respond to presentation requests, especially if you would like a customized conversation for your group. If you have any questions about programs, or wish to discuss your program with CARE staff, please email care@unl.edu. 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