SHW Materials Request

Fill out this request to obtain SHW materials, including brochures and flyers.

We will get back to you between three and five business days.

Name Name First Last
Email
Phone Phone - ### - ### ####
Date Items Needed Date Items Needed / MM / DD YYYY
Your Primary Affiliation with the University

Your Primary Affiliation with the University Faculty Staff Student Other Other
Department/Organization
Type of Event
Number of Attendees Expected or Copies Needed
Materials - Check All that Apply

Materials - Check All that Apply Alcohol Infocard Caffeine Informational Postcard Pens Aromatherapy Condoms SHW Services Bookmark Quick Guide to Helping Students in Need Counseling & Psychological Services informational flyer Victim Empowerment Program informational palm card Other Other
If other materials are needed or if amounts are different - Please specify here: