1 Start 2 Complete CARE Acknowledgment * - Select -YesNo Please acknowledge. The CARE Office needs at least 7 business days prior to the event to process your request. Form submission does not guarantee event confirmation. If you are requesting a 1-hour FSL presentation on interpersonal/gender-based violence please visit: fraternitysorority.ucmerced.edu. Requesting Department or Organization * Contact Name * Contact Email * Name of direct supervisor / REC (if none, put N/A) * Date of Proposed Event, Collaboration, or Presentation * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20232024202520262027 Time of Proposed Event, Collaboration, or Presentation * Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm Which CARE focus area are you interested in? * With the CARE Vision in mind, please select the focus area that best describes what you would like from CARE. CARE office overview Healthy relationships Staff/peer educator training Class announcement Self-CARE+ overview Bystander intervention techniques Tailored training on dating/relationship violence, sexual assault, stalking or sexual exploitation Please provide the details of your request, including purpose and audience. * Thank you for your time! We will follow-up via email. For any immediate questions or concerns, please contact ucmcare@ucmerced.edu
