Request A Virtual Presentation – Counseling and Wellness Services

If you would like to request a presentation, please complete and submit the form below. All fields must be completed before submitting the form. Staff will follow up with you regarding your request within 1-2 business days.

Name * Required
First Last
EWU Email * Required
Phone * Required
Residence Hall/Club/Organization/Class * Required
Date (First Choice) * Required
MM slash DD slash YYYY
Time of Presentation * Required

: Hours

Minutes

AM/PM AM/PM
Date (Second Choice) * Required
MM slash DD slash YYYY
Time of Presentation * Required

: Hours

Minutes

AM/PM AM/PM
Expected number of attendees * Required
Program Topic * Required