Outreach and Education

Request a Workshop

Students, staff and faculty can request a tailored workshop for their group, class or student organization. To make a workshop request, please complete the form below and a Counseling and Consultation Service clinician will contact you to consult on your needs and can recommend a program based on our staff's wide range of expertise.

Availability to accommodate requests varies over the course of the semester. During busier periods, please allow 3-4 weeks advance notice. If your need is related to a crisis or otherwise urgent situation, please call us directly at 614-292-5766.

CCS offers consultation services for faculty, staff and families and loved ones of our students. To consult with a CCS clinician regarding any mental health related concerns, please call our office and request a call back from a counselor.

Required field =

Workshop Request

Your Information

First Name

Last Name

Phone

Format: XXX-XXX-XXXX

Best time/way to reach you

Character Limit: 300

Organization/ department/ class

Character Limit: 300

Position

Character Limit: 300

Your affiliation to the university

Program Information

Requested Program Topic

Character Limit: 300

Program Title (if established)

Character Limit: 300

Program area category (if known)

Nature of program requested

Goals for the requested program and/or related audience needs

Character Limit: 5000

Time/Location/Audience

Preferred date and time

Character Limit: 300

Alternate date and time

Character Limit: 300

Preferred length of the program

Character Limit: 300

Location of the program

Character Limit: 300

Access to technology

Computer

Sound System

Projector

Technical Assistance in Person

Audience description (e.g., freshman, females, graduate assistants, etc)

Character Limit: 5000

Number of participants expected (with a minimum of 10)

Character Limit: 100

Attendance

Mandatory
Optional