UW Counseling Center (UWCC) Outreach Request

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UW Counseling Center (UWCC) Outreach Request

Please provide the below information when requesting UWCC workshops, presentations, trainings, information booths, event participation, etc.

We need 3-5 business days notice for interviews and 4 weeks notice for presentations and trainings.

This form is not intended to be used to seek counseling or crisis services through the UWCC. If you are in crisis please contact MySSP at 1.866.775.0608

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Email *

Your department/club/organization name *

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Name and title of contact person *

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Phone number of contact person *

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Describe the intended audience (who will be the participants, number of expected participants, etc.) *

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Format of outreach *

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In-person event

Live virtual event

Pre-recorded virtual event

Hybrid

Other:

Length of program requested (1-hr presentation, 15-min session, full day event, etc.) *

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Location of event. If it will be a virtual event, please note who will arrange the Zoom link. *

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Requested date

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MM

/

DD

/

YYYY

Requested time

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Time

:

Topics requested (check all that are of interest but please note that the topics covered maybe limited by available time for the event) *

Information about UWCC services

Identifying and referring students in distress

Self-care and burnout

Healthy relationships

Addiction

Intuitive eating

Stress management

Press Interview

Academic interview

Other:

Required

Please provide any additional details that may be useful for the UWCC team to know about your request

Send me a copy of my responses.

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