Outreach Request Form

Counseling Center Outreach / Program Request 

If you would like the UNCW Counseling Center to present an outreach program, please complete the pop-up form. You may also print the PDF document and return it to Gina Speight at the Counseling Center, Box #5936. We will make every effort to fulfill your request. 

You may make your request online. You will receive an email confirmation within seven business days. If you don't hear from us, please contact us at x23746. Pop-Up Form  

Upon receipt of this request, a Counseling Center representative will contact you to discuss your outreach / program needs. If you do not receive confirmation within seven business days, please contact us at x23746. Print the Request Form