Nutrition and Wellness Program Request Form

Illinois Extension Nutrition and Wellness Programs

Offered by Kristin Bogdonas, Nutrition and Wellness Educator, University of Illinois Extension, 321 W 2nd Ave. Milan, IL 61264 (309) 756-9978 kmbogdo@illinois.edu
Kristin Bogdonas, MPH, is the Nutrition & Wellness Educator serving Henry, Mercer, Rock Island, and Stark Counties. She offers programs in
- Chronic Disease Prevention and Management
- Food Preservation and Food Safety
- Cooking and Nutrition Education
- Healthy Aging and Physical Activity
She is certified in Trauma Informed Care, Fit & Strong, Tai Chi for Arthritis and Fall Prevention, and ServSafe Food Protection Management.

Keep in mind that groups should have a minimum audience of 10 people. Please return this form at least 6 weeks in advance in order to confirm our schedules.
Please complete the following form. Select up to 3 topics from the options below.
Chronic Disease Prevention Options.

Tools to Manage Diabetes – Meal planning tips plus a portion plate for in-person attendees.Nourish Your Heart – Prevent heart disease with food and lifestyle strategies.MIND Diet: Eating for Brain Health – Support cognitive function and reduce Alzheimer’s risk.In the Kitchen with Osteoarthritis – Arthritis-friendly cooking and meal planning.5 Ways to Protect Your Bones – Practical steps for strong bones at any age.Eating Well as We Age – Foods that support independence and vitality.8 Dimensions of Wellness - Bring more balance to you life and explore the 8 dimensions of wellness.
Food Preservation and Food Safety Options

Canning with Confidence – Learn safe techniques for water bath, steam, and pressure canning.Hands-On Canning Workshops – Preserve and take home your own jar.Fermentation Fundamentals – Learn how to safely ferment foods and drinks at home.Food Rescue at Home – Reduce food waste and support local food rescue efforts.Be Prepared When Disaster Strikes – Learn what's needed for an emergency food/water supply.
Culinary & Cooking Skills Options

Building a Balanced Board – Healthier charcuterie for all seasons.I Heart Whole Grains – Explore variety, flavor, and health benefits.Honey & Health – Taste and learn about honey’s nutritional and therapeutic value.What to Eat When You Can’t Eat That – Allergy-friendly dining and recipe modifications.Gluten-Free Sourdough Workshop – Learn how to make GF sourdough at home and maintain a starter.
Mindful Living & Nutrition Education

Mindful Eating – Explore the when, why, and how of eating choicesGateway to Gut Health – Understand the gut microbiome and how to support itMake the Swap – Healthier meal choices and substitutionsReading Nutrition Facts Labels – Learn to decode labels for smarter grocery shopping
Group Trainings & School-Based Programs

ABCs of School Nutrition – Free USDA-approved training for school food service staffPutting Wellness to Work – Lunch-n-learn sessions for employee wellnessChildcare Providers – Gateways-approved continuing educationHigh School Health Lessons – Supplements for health classes: food safety, nutrition, cooking nutritional and therapeutic value.ServSafe Training – Food Protection Manager certification for food service professionals.
What is the first option for a date and time you are requesting?

MonthDayYear
DateHourMinutesAM/PM Option
What is the 2nd option for a date and time you are requesting?

MonthDayYear
DateHourMinutesAM/PM Option
Fees

No fees are required for programs without supplies. Programs that offer cooking or tasting demonstrations will have a small fee to cover supply costs. Kristin will go over any fees in the follow-up to this registration.
Your Name:

First NameLast Name
Position/Title
Organization, Company, or Group Name
Approximately how many people will be attending the presentation?
Location where presentation will be made*

Building

Address

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Phone Number*
Select any Audio Visual Equipment that you may have

ScreenMicrophoneComputerProjector that connects to computerNo, we do not have any AV equipment
Anything else we should know?
Should be Empty:

Illinois Extension Nutrition and Wellness Programs

Fees