Program Request Form

Program Request Form

  • Use the control button to select more than one program.
    Refer to "Program Descriptions" for additional information.
  • Use the control button to select more than one program.
    Refer to "Program Descriptions" for additional information.
  • Use the control button to select more than one program.
    Refer to "Program Descriptions" for additional information.
  • Use the control button to select more than one program.
    Refer to "Program Descriptions" for additional information.

  • Education Awareness Programs

    Refer to "Program Descriptions" for additional information. The programs listed below are considered standalone Education Awareness programs when delivered on their own. Research from the Centers for Disease Control and Prevention (CDC) has shown that singular programs are not designed to change attitudes, beliefs, and behaviors that contribute to sexual abuse, harassment, and assault. As a result, we encourage you to choose multiple programs from the list for SAPCC staff to facilitate with your group.
  • Use the control button to select more than one program.

  • The Centers for Disease Control (CDC) and Pennsylvania Coalition Against rape (PCAR) recommend multiple sessions of content over a period of time in order to change attitudes, beliefs and behaviors that contribute to sexual violence. For this reason we prefer to engage audiences for more than one session. Please review Program Descriptions to learn more about the target audience and session lengths of each program. The SAPCC team will do their best to accommodate your requested date and times. Please reach out to SAPCC with any questions or concerns. Days of the week you are requesting:

  • Saturday and Sunday programs may be available upon request for groups unable to schedule Monday through Friday.

  • Additional Information

    Will the facilitator have access to: