Today's date: (ex:xx/xx/xxxx)

Program Information

Presentation topic requested: Select from list: Body Image 101 Eating Disorders Awareness Eating Well on Campus Fad Dieting Food and Fitness Media and Body Image Stress and Nutrition Other, please specify below

Name of group to whom this will be presented:

Date and time of presentation
First choice of date:
First choice of time:

Second choice of date:
Second choice of time:

Location for presentation:

Group Information

Number of expected attendance (must have at least 5):

Briefly describe the purpose of the presentation:

Contact Information

Requested length of presentation:

Name of person making request: 

Your title/responsibility: 

Phone # 

Email: 

Other pertinent information (AV equipment needed, etc.):

You will be contacted about your request as soon as possible. If you do not hear from a SNAC peer within a week, please contact us at 785.532.5240.

Tips for Requestors to Ensure a Successful Presentation
• Need to have at least 5 in attendance.
• Please post flyers for event at least one week in advance.
• Send out email reminder to audience.
• Provide incentives for the audience (snacks, prizes, etc.)
• Meet the presenter at least 5-10 minutes beforehand either in the commons room/lobby or outside the front door.