NC State University

University Counseling Center

Workshop Request

Please provide us with the following information so that we may accurately understand your request. Once you have responded to all of the information requested, please click on the Submit button at the end of the page. You should expect to hear from someone within 1 week. Please make all requests for programs at least two weeks in advance of the date of the program. If you have not received a response after 7 days from the date your request was submitted, please contact the office at 515-2423.

Contact Information
Name of Primary Contact for Program:
Your Phone Number
Your Email Address
Class/Organization Requesting Program
Are you a Resident Advisor?** Yes
No
If an Resident Advisor, Please list Co-Sponsors:
 

Program Information
Brief Description of Program Topic
What do you hope the participants will gain from the program?
Requested Length of Program
Location
Requested Dates/Times for Program (Please list a maximum of 3 choices with the first choice being most preferred.) First Choice
Second Choice
Third Choice
Expected Number of Participants**
Is attendance mandatory? Yes
No
Please provide us with any additional information that you think will be helpful in responding to your request.

** Note: For RA's: To ensure adequate attendance at the program we require that at least 3 RA's co-sponsor a program or are able to guarantee attendance by a minimum of 10-15 participants.

If you have any questions, please contact us at ccwebpag@gw.ncsu.edu.

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updated July 24, 2006