Safer Sex Item Request Form

This form is for student organizations (e.g. Greek chapters, residence hall houses, etc.) who are interested in requesting a larger supply of safer sex items to make available for their student organization members who choose to engage in sexual activity.  Please fill out the form below and your request will be sent to Student Wellness.  We will review your request and be in touch with you if the order is approved.  Student organizations can make additional requests throughout the year so we ask that you please stick to the item max limits.  

If you need non-latex condoms, flavored latex condoms, internal condoms (FC2/female condoms), or dental dams, you can stop by Student Wellness during business hours to pick up.