Wellness Communication and Event Request Form - Mental Health and Wellness - Wellness - Current Students

Name*

First Last

Email (Carleton Email)*

What department are you with?*

What are you looking for support with?

Event/ Workshop Name:*

Date of Event / Workshop*

If the event is reoccuring, please specify additional dates below:

Start Time*

: HH

MM

End Time*

: HH

MM

Location of Workshop / Event*

Description of the Event/Workshop*

Please select all that apply:*

For social media graphics and advertising on the Instagram page, requests must be submitted a minimum 3 weeks prior to the event.

If you have other requests, please fill in below:

Please select all information you're looking to capture in the registration page:*

What email would you like a copy of the registrations to go to?*

What type of graphic are you looking to have completed?*

Please outline below what content you would like translated into the graphic:*

Please note that we might make some adjustments to the language or structure to better fit the graphic type.

Please insert below what content you would like included in the post, including any links (we will transfer to QR Codes)*