Request for Counseling Services
SCU partners with Bethany Counseling Center to provide up to 3 confidential counseling sessions for its students, staff, and faculty. This service is free to you. Please fill out the form below with your contact information, and a representative from Bethany Counseling Center will contact you directly. SCU will receive an invoice with the name of the individual seeking counseling services, but no other information will be shared.
Email address *
Name *
Your answer
Phone number
Your answer
May we leave a message?
Comments (optional)
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms