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Office of Health Promotion
Program and Services Request Form

Today's Date (mm/dd/yyyy)

[Your program request must be submitted at least two (2) weeks before your requested program date.]

The Office of Health Promotion team is available to support you and your organization/department in many ways.

Workshop Requests: You can review our list of workshops online at https://healthpromotion.umbc.edu/programs/.

Outreach Requests: Outreach requests are available if you would like a member of the Office of Health Promotion team to table or provide health and well-being resources at your campus event.

Consultation Requests: Office of Health Promotion professional staff members can consult with other UMBC departments and student-led areas looking to support student health and well-being through new programs, events, and initiatives.

Consultations can Include:

Guidance on wellness program design
Providing data related to student health and well-being at UMBC
Providing information on current evidence-based practices utilized on college campuses
Providing resources and tools available currently available through OHP

Please select the service you are requesting from the Office of Health Promotion at this time.

Program Request
Table Request
Consultation Request