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If you would like to request a program please complete the form below. Your request should be submitted at least one month in in advance unless it is an urgent need response. We will contact you by phone or e-mail to confirm your request.
If you do not hear from us you can call us at 231-6557.
Name of contact person
Email of contact person
Department requesting program
Select a program:
Orientation to Cook Counseling's Services
Adjusting to College
Stress Management
How to Refer a Distressed Student
How to Refer a Friend to the Cook Counseling Center
Healthy Relationships
Body Image Concerns
Eating Disorders
Referring International Students
How to Identify Students in Distress
Understanding Diversity
Depression in African Americans
Public Speaking Strategies
Communication and Listening Skills
Getting Along with Your Roommate
Exercise and Mental Health
Culture Shock: How to Manage it and What to Expect
Managing Emotions in a Healthy Way
Other
Click to write Choice 7
If other, please explain:
Today's date
Desired Date of Program
Start and End Time of Program
Program Location (Virginia Tech Campus Only)
Expected Number of Participants
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