RSVP - Healthy Relationships - November 13, 2017

If you will attend the Healthy Relationships Workshop on Monday, November 13, 2017, from 5:00pm-6:30pm in Pless Hall, 3rd Floor Student Lounge, please fill out the below information.

1. First Name: *This question is required.

2. Last Name: *This question is required.

3. Your Campus ID ("N") Number (N + eight digits; example: N12345678): *This question is required.

4. NYU Affiliation *This question is required.

5. Your NYU email address: *This question is required. This question requires a valid email address.

6. Your NYU Steinhardt academic department: *This question is required.

7. Will you be bringing a guest? *This question is required.

8. Please take a moment to share your goals for attending this program.