Cowboys Care Event Request Form

* Indicates required field.

Are you currently an OSU Student?*

Yes

Personal Information

First Name*

Last Name*

Department

Email Address*
Please use your @okstate email.

Mobile Phone*

What is your relationship to OSU?*

Faculty

Staff

Other

Other - Please describe your relationship to OSU.*

Campus*

Other Campus*

Please provide your response to the questions below.

Name of event*

Date of event*

Start Time*

Type of Cowboys Care presence you're interested in*

Tabling

Cowboys Care Ambassadors to speak

Angela Hess to speak

Other

End Time*

Location*

Other - Please briefly describe your event*

Additional information