We provide outreach services to the University of Louisville Community. We are able to tailor our presentations to the needs of your organization/class.

Tabling
We also welcome the opportunity to reach more students by tabling at campus events! We will come armed with our swag and brochures ready to meet students!

Outreach Request Form

Name *

E-Mail *

Department/Organization *

Location of Event *

How long (in minutes) would you like the presentation/outreach to be? *

Date and Time Option 1

Date and Time Option 1: Date

Date and Time Option 1: Time

Date and Time Option 2

Date and Time Option 2: Date

Date and Time Option 2: Time

Date and Time Option 3

Date and Time Option 3: Date

Date and Time Option 3: Time

Is audio-visual equipment available if needed for the outreach event? (optional)

Yes

No

Estimated Number Attending

Type of Audience (e.g. specify students, staff, faculty): *

Topic(s) Requested (optional)

Counseling Center Services

Depression & Anxiety,

Grief and Loss

Healthy Relationships

Social Anxiety

Stress Management / Wellness lifestyle,

Test Anxiety

Time Management / Procrastination

Other

If you chose other on the Topic(s) Requested, please describe what you want addressed

Anything else we should know or be aware of? (e.g. more detail about the audience/event)

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