Request a STAR Workshop

Fields marked with an asterisk (*) are required.

• Service Request Form

• Contact Name *

  First Last
• Organizational Name *
• Contact Email *
• Audience Members *
• Service Requested *
  Tabling Bystander Intervention Workshop Panel Discussion
• Location of Event *
• Anticipated Number of Attendees *
• Additional Information regarding training request:

• Please select three potential date and times for your outreach request.

  Having several date and time options to choose from allows STAR a better chance at satisfying your outreach request.

• First Date *

  / MM / DD YYYY
• First Time *

  : HH MM AM PM AM/PM
• Second Date *

  / MM / DD YYYY
• Second Time *

  : HH MM AM PM AM/PM
• Third Date *

  / MM / DD YYYY
• Third Time *

  : HH MM AM PM AM/PM