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Counseling Center
To submit a request for a member of the Counseling Center to speak to your class or organization, please fill out the form below.
Keep in mind that it takes time to schedule these visits, so requests should be made at least TWO WEEKS in advance.
All fields required unless noted.
Organization/Department/Class/Office
Phone
Fax (Optional)
Cell (Optional)
E-mail Address
Name of Event/Presentation (Optional)
Date(s) for Event/PresentationIn order to facilitate scheduling, please provide a range of dates/days if possible.
Time(s) of Event/Presentation
Location of Event
Expected Number Attending
Expected Length of Program (Optional)
If Other, please specify:
Additional Information (Optional)
Please submit completed form at least 14 days prior to event and we will do our best to meet your request.
