Request Form

  • Planning a Benefits & Worklife Workshop for Your Department

    Please complete this form if you would like to request an in person workshop or live webinar from the JHU Benefits & Worklife Office. Please refer to our current workshop catalog. Requests should be made one month in advance of proposed date.

    PLEASE NOTE: If you are requesting a stress management topic as a result of a recent incident and or to address a specific issue in your department please first consult with our JHEAP Team at 888-978-1262.

  • Requester Information

  • On-Site Contact (if different from requester)

  • Event Information

  • Describe the event. Include any specifics you could not complete above. (If you do not have a specific date please list preferred month(s), day(s) of the week and time of day.)
  • Event Details

  • Choose Desired Webinars

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