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Request a Custom Workshop

Health educators from the Center for Health Promotion & Wellness can design custom workshops and health programs for your office, lab, residence hall, fraternity, sorority, or independent living group. Workshops include health information and interactive discussions specifically tailored for you.

To request a custom wellness workshop for your MIT group, department, lab, center, class, or residence, please fill out and submit the form below. Workshop requests must be submitted at least two weeks in advance of your desired program date. You will be contacted by the Center for Health Promotion & Wellness approximately two business days after submitting your request to confirm workshop details. Workshop sponsors (that's you) are responsible for all advertising, room reservation and set-up, refreshments, and attendance. Workshops are for MIT groups only and we request at least 10 people in attendance.

*Indicates a required field

1. Name: *

2. Title:

3. E-mail: *

4. Phone: *

5. MIT Affiliation *

6. Department, Residence or Organization: *

7. How did you hear about us?
Health Educator
GRT/RA
RAA
MedLink
Friend
Professor or administrator
Coach
MIT Medical staff
Website
Other  

8. Workshop content – check all that apply: *
Alcohol and other drugs
Dating and relationships
Sexual assault prevention/how men can prevent sexual assault
Nutrition
Eating disorders and body image
Fitness
Relaxation techniques and yoga
Mental Health FAQs
Mindfulness and meditation techniques
QPR suicide awareness training
How to have a difficult/sensitive conversation
How to make a healthy behavior change
Smoking cessation
When gambling becomes a problem
Other  

9. Additional requested content:

10. Workshop sponsors are responsible for all advertising, room reservation and set-up, refreshments, and attendance (at least 10 people must be present at the workshop).

Preferred date: *

Preferred time: *

Expected location: *

Expected number of attendees: *

11. Additional comments:

 

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