Sticker Request Form

NOTE: This form should only be filled out by students, faculty, and staff who have participated in at least one UNH Safe Zones program or training. If you are interested in participating in UNH Safe Zones, check out our upcoming list of programs for students OR trainings for faculty and staff.

*Your name:

*Position(s) on Campus:
Faculty Staff Administrator
Undergraduate Student Graduate Student

*Department / Academic Major:

*When and where did you attend a Safe Zones program or training?
(date & location)

*Campus address where you would like your Safe Zones symbol to be mailed:

If you live on campus, name of your residence hall:

*Email:

*Phone Number:

*Specific location (building, room, or on personal item, etc) where your Safe Zones symbol will be posted:

Comments:

*Required Fields.

We ask that if you use any of these materials that you credit the UNH Safe Zones program or the original source as noted. Thank you.