Program Request Form

Program Request Form

Thank you for your interest in submitting a program request to the Office of Health Promotion, Counseling and Psychological Services, Student Health Services, Middle Earth Peer Assistance Program, or Project SHAPE: Sexual Health and Peer Education.

Please complete the form below to request a program. If you are not certain which of the above departments you should reach out to with your request, we will take care of making the selection based on the nature of your request and your topic of interest.

PLEASE NOTE: Due to the high volume of program requests that we receive, we recommend 4 weeks’ notice, if possible.  Thank you for your cooperation.

If you have any questions, please email healthpromotion@albany.edu.