UCC Outreach Request Form

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The Southeastern Louisiana University Counseling Center is available to provide outreach to various groups/ students on Southeastern's campus. Outreach can be provided in the form of seminars, psychoeducation, support groups, etc. Please provide details regarding your request.

Email *

Name *

W# *

Organization (put N/A if none): *

Date and time of event, please note if this request would occur on multiple dates or will be reoccurring:

Location of event (note if you would like the UCC to help coordinate this):

Please provide details of your event and what services you would like from the UCC: *

Please note the expected number of attendees *

Please note that outreach events and support groups are not counseling groups, meaning confidentiality is not guaranteed. We strongly encourage all participants to maintain discretion and not discuss others’ personal information outside of the meeting.

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