Request Outreach & Education

To help us better serve you, please complete the form below with as much information as possible. When finished, click 'Submit' at the bottom of this page and we will respond to your inquiry within three business days.

Note: Please make Wellness Workshop or Program requests at least two weeks in advance. The more notice we have, the better we are able to accommodate your needs and preferences. Thank you.

*Required field
Organization/Office/Department*
Contact Name*
First Last
Contact Email*
Contact Phone*
Topic Requested-visit our Wellness Workshops tab for descriptions*
Location of Event*
Duration of Event*
Preferred Date*
MM slash DD slash YYYY
Preferred Time*

: Hours

Minutes

AM/PM
Alternative Date
MM slash DD slash YYYY
Alternative Time

: Hours

Minutes

AM/PM
Number of People Expected*
Target Audience*
Audience Description*
Specific Group such as LGBTQ, Greek Life, Student Athletes, Particular Major, etc.
Service Requested*
Services such as Classroom Presentation, Consultation, Group, Guest Lecture, Panel Discussion, Special Activity, Student Orientation, Tabling, Training, Workshop, etc.
Media Requested*
What do you hope you and your group will get out of the experience?*
Please share any additional specific needs or concerns here.
While we endeavor to meet all requests, we are not always available to do so during high volume times. In this case, we will do our best to honor your request or refer you to other campus and community resources that may be able to help. Thank you for contacting us as we work together to increase wellbeing on campus.
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counselingcenterlogo-minesmark-002 Request Outreach & Education Student Wellness Center
303-273-3377
1770 Elm Street, 2nd floor Golden, CO 80401
Monday-Friday 8:00 am-5:00 pm