Please note: For fall 2022, the Student Counseling Center is requesting that students wear masks for in-person sessions. If a student prefers not to mask, a virtual session can be scheduled.
(Copy and paste the list below into your email and provide an answer to each)
Is it OK for us to text reminders to this number? (Y or N)
Date of Birth:
Is it OK for us to email reminders to this email address? (Y or N)
Campus or Local Address (with room no. for a dorm or apt. no. for off-campus, if in bldg):
Local/On-Campus Emergency Contact (Name and Number):
Days and Times Available (for all 5 days Mon.-Fri.):
Remember, only the student who will be requesting counseling services should take the first-step of scheduling an appointment.