Request a Wellness Program

Program Request

Request a Counseling Center Wellness Program or Workshop
  • 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 outreach 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

  • Date Format: MM slash DD slash YYYY
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  • Date Format: MM slash DD slash YYYY
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  • Specific Group such as LGBTQ, Greek Life, Student Athletes, Particular Major, etc.
  • Services such as Classroom Presentation, Consultation, Group, Guest Lecture, Panel Discussion, Special Activity, Student Orientation, Tabling, Training, Workshop, etc.
  • 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.

Contact Us


Student Wellness Center
1770 Elm Street, 2nd floor
Golden, CO 80401

8:00 am-5:00 pm