Grad Minds Conflict Resolution Coaching: Intake Form
Please note: Filling in this form does not guarantee a session with Julian. Spots will be given on a "first-come-first-serve" basis.
Email *
Name *
Graduate Program *
Degree Type *
Year of Study *
With whom are you having a conflict with?
What would you like to get out of Conflict Resolution Coaching?
Availability on September 28: Rank each time slot from 1-6 (with 1 being your most preferred time and 6 being your least preferred time).
1
2
3
4
5
6
1:00-1:30pm
1:30-2:00pm
2:00-2:30pm
2:30-3:00pm
3:00-3:30pm
3:30-4:00pm
Clear selection
Additional Comments:
What are the next steps?
Grad Mind will be reviewing intake forms regularly. You will receive an email to confirm a time slot or a spot on the waiting list. If you are unable to make it for your assigned time slot, let us know as soon as possible so that we can either reschedule or give your spot to another student.

If you have any questions or concerns, please contact mentalhealth@utgus.ca. Thank you!
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