SHARE – SAFE PROGRAM REQUEST FORM
Please complete all the information requested on the form.
Forms must be submitted at least 2 weeks in advance to the earliest requested date.
We will make our best efforts to meet all requests; if unable to accommodate the initial request we will contact you to discuss additional scheduling options.
For additional information on the SHARE Program, contact Michele Welker, Coordinator, 412-648-7930, email@example.com.
S.H.A.R.E. is located on the second floor of the Wellness Center in Nordenberg Hall.