Safer Sex Supply Grant

The Health Center can provide free safer sex supplies to Towson University Resident Assistants (RAs) and student organizations upon request. This program is intended to increase Towson University students’ access to safer sex supplies.

If you are planning a program or event dedicated to promoting good sexual health practices, or if you are just interested in having these supplies available to your residents, please complete this request form.

Safer Sex Supply Grant Application Form

All packages will include external condoms, internal condoms, dental dams, an assortment of personal lubricants, and information sheets to go along with each item. These supplies are open to Towson University Resident Assistants (RAs) and student organizations ONLY. Products must be intended for use by TU students and may not be sold.

First time requesters of the Safer Sex Supply Grant must either (A) request a health educator to be present at your event, or (B) send a representative of your organization to participate in a 15-20 minute educational consultation with a health educator at the Health Center to ensure knowledge of proper storage, use, and distribution. Once your request has been processed, you will receive an email letting you know that your items are ready for pick-up at the Health Center in the open classroom on the first floor (WW1202).

All recipients of the Safer Sex Supply Grant will be required to complete an evaluation form at the end of their event, program, or distribution period. RAs or organizations who do not comply with this evaluation, will not be permitted to receive this grant again in the future.

Safer sex supplies must be stored at room temperature and out of direct sunlight, away from sharp objects. DO NOT store safer sex supplies in a car.

NOTE: If these supplies are intended to be used for a sexual health program, we recommend requesting a program with our SHAG Peers. Programs can be requested by using the Workshop Request Form.

Please note that this is an application, not a guarantee of receipt of items. We require a minimum of 2 weeks’ notice to process requests. Please plan accordingly and submit the application with enough lead time for your event/distribution period.

I have read and agree to the above terms. (Please type your initials):

Applicant Name (First & Last):

Towson University Email:

Applicant Affiliation:

Hall:

Organization Name:

Your Role:

Please describe other applicant affiliation:

Is this for an event, or for general availability (Select one)?

EventGeneral Availability

If Event:

Title of Event:

Date and Time of Event:

Event Location:

Estimated number of attendees (minimum 15):

If General Availability:

Where will safer sex supplies be distributed (e.g., hall bathroom, front desk of building, common area):

Estimated traffic in distribution area (please type some # of students):

Please select one of the following:

I would like to schedule a 15 min training session with a health educatorI would like to request a health educator be present at my event

Supplies that will be provided include:

Internal Condoms
External Condoms
Dental Dams
Water-Based Lubricants
Information sheets about each of the above items

Do you have any special requests?

Where will the safer sex supplies be stored:

Please describe the event or planned distribution method:

Is this your first time applying for the Safer Sex Supply Grant?

Yes, this is mine and my organization’s first time applying for the grantYes, this is my first time applying for the grant, but my organization has been a recipient previously.No, I have received supplies from this grant previously

Please indicate when your organization last received the Safer Sex Supply Grant

Please indicate when you last received the Safer Sex Supply Grant

Any additional information you wish to provide:

Contact Information

Health Center

Location

Towson University Health Center at Ward & West
(map)

Hours

Monday - Friday
8 a.m. - 5 p.m.

Phone

410-704-2466

Fax

410-704-3715

healthcenter@towson.edu

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