Request a Health Education Program or Presentation Form
  1. Submit an online request at least 5 business days in advance. Please note that all Program Requests should start no later than 8:00 PM.

  2. After submission of your online request, you will receive a response from a Health Education staff member. Response may take up to 48 hours. If you have not been contacted by a Health Education staff member or have not received the Program Confirmation Form, please contact Ronald King at rking@westga.edu or (678) 839-4164.

  3. Once you have received confirmation of your request, we recommend that you advertise your program. You can do this through flyers, e-mail, word of mouth, Org Sync, and any other means of promotion. (Use these avenues of advertisement if applicable to your program)

Step One: Your Information

Step Two: Select the Program

Step Three: Dates, Location, Outcomes

Possible Date & Time of Program

First Choice First Choice
Second Choice Second Choice

I understand that by submitting this form, I am not scheduling a program request at this time. I understand that someone from the UWG's Health Education will contact me and let me know if or when they can meet my need. We require that you submit your request at least 5 business days before the requested program date.