Contact Us

Sonia Lopez
Enterprise Center
2205 Enterprise Drive, Suite 501
Westchester, IL 60154
Phone: 708-449-4320
FAX: 708-492-1805
slopez2@illinois.edu

Online Forms & Surveys

Community Health Program Request

Thank you for your interest in our Community Health Programs. Please use this form to request the programs listed below. Please submit your request at least 4 weeks in advance. Your request will be confirmed by the topic instructor. Please contact Sonia Lopez, Community Health Educator at slopez2@illinois.edu or 708-449-4320, if you have any questions.

* First Name
* Last Name
Street
City
State
Zip Code
Home Phone
Work Phone
Email

*I am interested in the following program:




*Indicates questions that require an answer.