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

: Hours

Minutes

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

: Hours

Minutes

AM/PM
Expected number of attendees*
Program Topic*