Department Workshop Request - JHU Human Resources

Planning a Benefits & Worklife Workshop for Your Department

Please complete this form if you would like to request a workshop from the Office of Benefits & Worklife. Requests should be made one month in advance of proposed date.

*This form should not be used for crisis support.*

For crisis response, contact the Employee Assistance Program (JHEAP) directly at 888-978-1262 or email at [email protected].

Requester Information

Name*

First Last

Department*

Phone*

Email*

Event Information

Event Name*

Event Address

City State Zip

Event Date: ( If you do not have a specific date please list preferred month, day of the week and time of day)*

Start Time

End Time

Number of Attendees Expected

Choose (One) Desired Workshop theme:

Choose one theme per request form.

Benefits workshops

Benefits Workshops

Benefits workshops

Family and Caregiving Programs

Benefits workshops

Health & Wellness

Employee Assistance Program

Mental Health / Johns Hopkins Employee Assistance Program (JHEAP)

Worklife Programs

Worklife Programs

Retirement Planning

Retirement Planning

Event Description*

Please provide reason for request and as many details as possible. List onsite contact and phone if different from above.

Event Details

Who is attending?*

Staff
Managers/Supervisors
Faculty
Support Staff
JHU Employees
JHH/JHHS Employees
Post-doctoral Fellows
House Staff

Type of Event*

Staff Meeting
In-service Training
Retreat
Other

Please specify "Other" if selected

Delivery Format*

In-person
Virtual
Hybrid

If in-person, provide parking details and any security/front desk check in instructions:

If virtual please select below:

We will provide the webinar link.
We would like the presenter to provide the webinar link.

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