This form is for current students and faculty/staff at the University of Maryland College Park to request* free:
*Limit is 2 requests per month
SPRING 2024 UPDATE: We've seen an increase in demand and want to ensure all free supplies are meaningfully distributed. This means that not all bulk requests will be filled. You may be asked to share your distribution plan, program proposal, and marketing flyer as part of your bulk request.
If you have questions or requests that can't be met through this form, email Sexual Health Program Assistant Coordinator Miriam Levitin at
miriam64@umd.edu.
You will receive a copy of your responses to the email address that you provide below. We will use that email address to contact you about picking up your request and possibly for future evaluation of our services. Please double check to make sure you typed your email correctly!