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UR Medicine / Employee Assistance Program / Workshops / Workshop/Training Request Form


Workshop Request Form

Please provide four weeks' notice for workshop requests. Any requests received less than four weeks before the requested date cannot be guaranteed. When an EAP counselor is assigned to a workshop, he/she/they will reach out to the requester no less than 24 hours in advance of the workshop time to finalize the number of attendees and the contents of the workshop.

Organization Information Organization:

Contact Information
( ) -
Workshop Details
Workshop Audience:
Mandatory for Staff:
Equipment Available for Use: