Request an HIV/AIDS Workshop

Workshop request need to be submitted 2 weeks before the request. To give the speaker the proper amount of time to prepare. All requests must be made to the Health Promotion Department. The request form must be completed in all required areas once the form has been sent you will receive a response via email or telephone within the next 3 -5 days.
Date requested: *
Time:   to  

Choose one of more of the following work shops

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Organizer Information
First Name: *
Middle Initial: *
Last Name: *
Business Address:*
Business City:*
Business Province/Territory:*
Business Zip: *
Business Country*
Business Telephone: *
Business Fax: *
Email: *