Thursday November 20, 2008

Center for Counseling & Student Development Mission Meet the Director Meet the Staff Confidentiality For Faculty & Staff Outreach Programs Alcohol and Other Drugs Crisis Assistance Helpful Resources Self Evaluation Online Event Calendar Newsletter FAQ's Coppin Home Page

Outreach Request Form Center for Counseling and Student Development Outreach Request Form Requestor Information: Contact Person:  Department/Organization:  Phone Number:  () - Email:  Outreach Information: Date Requested for Outreach:  Location:  Time of Requested Outreach:  Topic and Type of Outreach (workshop, lecture, presentation, panel): Population (Be sure to include approximate number of attendees, classification, major, etc...): Please review your information before submitting.

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