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FSU University Counseling Center Presentation Request

Please complete this form 3 weeks in advance

While we do not guarantee that all requests can be filled, we will work to accomodate your needs. Feel free to contact Jori Collette by email at jcollette@admin.fsu.edu or by phone at 644-2003 if you have any questions or would like additional information.

Name:
Email Address:
Organization:
Phone Number:
Location of Presentation:
Length of Presentation(Please Select One):	15 minutes 30 minutes 1 hour Other
Number of Participants:
Audience Description(e.g., freshman, females, peer advisors, etc.):
Preferred Date of Presentation(Please list two options):
Start Time of Presentation:
Presentation Topics:	General Information/Services Relationships Stress Management Self-Esteem/Assertiveness Addictions Study Skills/Test Anxiety Time Management Adjusting to the University Anger Management Sexual Assault Greif and Loss Speech Anxiety Relationship Violence Communication Skills Conflict Management Safe Zone (Allies to LGBT Community) Developing a Healthy Self-Image Other
If Other, please describe:
Additional Requests/Comments: