Wellness Feature Request Form

Wellness features are not intended for any outside solicitation of goods or services. Such requests will not be accepted.

Contact Name
Contact Email
Contact Phone Contact Phone - ### - ### ####
Department or Organization (Northwestern affiliated only)
Preferred Feature Start Date
(Please select the Monday that you would like. The feature will run for 1 week. If no preffered date, we will run during the first open week) Preferred Feature Start Date
(Please select the Monday that you would like. The feature will run for 1 week. If no preffered date, we will run during the first open week) / MM / DD YYYY
Section Subheading or Hashtag (Blue Text)
Feature Title (Purple Text)
Content
Side Links
Visual (Image to accompany feature)

Attach Files