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Health Promotion Services Presentation Request Form

Will the requester be present for the presentation? *
Presentation Requested *

*Note: Special consideration will be given to other presentations on our list based on the need of the population requesting the program. But the number of presentations delivered outside of the COVID-19 topic will be very limited.

This video will be available for viewing starting September 14.

Duration of Class Time *
Do you have media equipment? *
Media Equipment Available *
Is Wi-Fi Available? *