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ACCC Registration Form
Please complete the following questions in order to register for career counseling services at the Adult Career Counseling Center.
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* Indicates required question
Last Name
*
Your answer
First Name
*
Your answer
Phone Number
*
Please pick a phone number that is best for a career advisor to contact you with to set up an appointment
Your answer
Email
*
Please select an email that will be best for a career advisor to contact you with
Your answer
Enter a brief description of why you are seeking ACCC services:
*
Your answer
Do you prefer to meet in person or virtually?
*
in person
virtually
no preference
Please Indicate days and times you would be available for an appointment.
*
ACCC hours of operation are: Monday-Thursday 9:00AM-9:00PM and Friday-Saturday 9:00AM-3:00PM
Your answer
How did you find out about the center?
*
Choose
Friend/Relative
OU Career Center
SEHS Counseling Center
Website/ACCC Homepage
Michigan Works
Counselor/Therapist Referral
Other
Which type of services do you wish to receive?
*
Note: Group sessions focus on the same material as an individual session only in a 4-6 week group format
Individual Sessions
Group Sessions
I am willing to do either individual or group
Required
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