Violence Prevention Request Form

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Violence Prevention Request Form

Use this form to request violence prevention programming. If you have questions email Dr. Jennifer Leili (leilij@rhodes.edu).

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What program are you interested in attending or hosting (select all that apply).

Consent and Boundaries

Behind the Post

Green Dot Bystander Intervention

Healthy Relationships

Supporting Others

Trivia/Jeopardy

Other:

Select one.

I am requesting this program for my student organization/group.

My organization would like to partner with the Office of Violence Prevention to co-host the program selected.

I am a professor wanting a presentation for my class.

I am wanting to attend this program.

Clear selection

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