Workshop Request Form

USF Counseling Center Workshop Request Form
Please complete the form below to tell us more about your group and what you are looking for.

Our programs are:

- Educational, experiential and diversity oriented

- Focused on helping students be psychologically well and academically successul

What we need from you:

- An audience of at least 25 people

- A time slot of 45-60min

- A location

- At least 2 weeks to plan and prepare

We will try our best but may not be able to accommodate all requests during busy times of the semester.

Thanks for your interest in partnering with us!
First and Last Name
E-Mail:
Phone number:
Best time/way to reach you:
Affiliation:
Organization / department / class:
Location of Program:
Estimated Attendance:
Choose a Learning Objective
Please specify what you would like your group to learn.
Preferred Date & Time (Please choose a date at least two weeks out from today)
Primary Preferred Date and Time

MonthDayYearHourMinutesAM/PM Option
Alternate Date and Time

MonthDayYearHourMinutesAM/PM Option
Other helpful information about your group and what you are looking for:
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USF Counseling Center Workshop Request Form