Please complete this Community Engagement Request Form for any activities that you want the Community Engagement and Health Equity Office to be a part of or support.

COVID-19 Update: Please ensure you email cancerengagement@uic.edu if we participate in an event and your organization becomes aware that someone has tested positive for COVID-19.

The request must be made at least 30 days prior to the event.

Thank you!

Loading... Loading...
You have selected an option that triggers this survey to end right now.
To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.