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SAVES Program Request Form

Please give us at least 2 weeks notice before your requested program dates.

Please check out our list of education programs and their descriptions at https://www.radford.edu/content/saves/home/programs-services/educational-programming.html

Name of Individual/Group/Organization Requesting Program

Course Name/Number (if applicable)

Contact Name

Contact Email

Contact Phone Number

Estimated Number of Attendees

Intended Audience (select all that apply)

Students
Faculty
Staff
Other

What day and time would you like this program delivered? Please also provide alternative days/times if possible.

Location of Presentation

Does the location have computer access?

Yes
No

Does the location have a projector/screen?

Yes
No