Taming Your Social Anxiety: Developing Your Social Confidence
Dear Participant,

Thank you for your interest in participating in our workshop series. We have a few questions to help us determine whether this workshop is a good fit for you. We want to emphasize that this workshop is effective when participants attend all 6 sessions and practice skills learned during the workshop outside of the meeting time.

Date & Time: Fridays from 3 pm - 4:30 pm beginning February 23rd, 2018
Location: Solarium (2nd Floor) - Davison Health Center

Your application must be submitted by 5 pm on Friday, February 16th. Applications are reviewed by Dr. Kidkarndee for appropriateness for the workshop, and all applicants will be notified by Monday, February 19th of their status with the group.

Date:
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Last Name: *
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First Name: *
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Preferred Name: *
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Email Address: *
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Age:
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Gender:
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Class/Year:
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Short-Answer Questions
How did you hear about our workshop? *
Your answer
What sparked your interest in this workshop series? *
Your answer
What do you hope to gain from participation in this workshop? *
Your answer
Have you participated in any similar workshops or courses, and what did you learn from these that was helpful? *
Your answer
Do you have any interest in becoming a student workshop facilitator? *
Your answer
Thank You!
Questions?
Please contact Counseling and Psychological Services (CAPS).

Dr. Smith Kidkarndee
skidkarndee@wesleyan.edu

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