Resource Request Form

To request resources for your student group/organization, classroom, or residence hall, please fill out and submit the form below. You will be contacted by a Campus Health Health Advocate Leader approximately two business days after submitting your request to confirm your submissions

Questions? Contact Riece Hamilton Program Coordinator, by phone: 502-852-1914 or email our service account.

Today's Date  
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Person Requesting Resources
Position  Check all that apply
Campus  


Date/Time Needed  
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