Mines Counseling Center Outreach Program Request

To help us better serve you, please complete the form below with as much information as possible. When finished, click 'Submit' at the bottom of this page and we will respond to your inquiry within three business days.

Note: Please make outreach program requests at least two weeks in advance. The more notice we have, the better we are able to accomodate your needs and preferences. Thank you.

 


* Organization/Office/Department
* Contact Person (first and last name)
* Contact Email
* Contact Phone
* CWID (Campus-wide ID)
* Location of Event
* Preferred Date
* Preferred Time (hh:mm am/pm)
Alternative Date 1
Alternative Time 1 (hh:mm am/pm)
Alternative Date 2
Alternative Time 2 (hh:mm am/pm)
* Approximate Duration

We are often able to adapt programs to meet the needs of your group (e.g. size, level of training, role at the university, academic affiliations). Please be specific about who we will be working with so that we can tailor and staff outreach programs appropriately.


* Number of People Expected
* Target Audience
* Audience Members

Specific Group such as LGBTQ, Greek Life, Student Athletes, Particular Major, etc.
* Service Requested

Services such as Classroom Presentation, Consultation, Group, Guest Lecture, Panel Discussion, Special Activity, Student Orientation, Tabling, Training, Workshop, etc.
* Topic Requested

Please be specific
* Media Requested
* What do you hope you and your group will get out of the experience?
Please enter any additional specific needs or concerns here

While we endeavor to meet all requests, we are not always available to do so during high volume times of the semester. In this case, we will do our best to honor your request or refer you to other campus and community resources that may be able to help. Thank you for contacting us as we work together to increase wellbeing on campus.





* required

Contact Us

Located on the 2nd floor of the Student Wellness Center
1770 Elm Street
Golden, CO 80401
303-273-3377
303-384-2009 (fax)

Hours of Operation
Monday-Friday
8:00 am to 5:00 pm

 

For urgent after hours care contact Colorado Crisis Services at 1-844-493-8255 or text TALK to 38255



Faculty & Staff Support
Colorado State Employees Assistance Program
C-SEAP | 303-866-4314


 

For general inquiries: counseling@mines.edu

Campus communications are not monitored by staff 24/7.