Don't Cancel Class

Workshop Request

Do you have a conference/personal conflict and need someone to teach your class?? The Wellness Center can help!

Please provide us with the following information so that we may accurately understand your request. Once you have responded to all of the information requested, please click the submit button at the bottom of the page. You should expect a reply from someone within 1 week. Please make all requests for programs at least 2 weeks in advance of the date requested. If you have not received a response after 7 business days for the date of your request, please contact our office at 336.750.3270.

Please send your email request to CounselCenter@wssu.edu? Be sure to include the following information:

Primary Contact:

PC Phone Number:

PC Email address:

Class/Organization Requesting Program:

Are you a Resident Advisor?   Yes/No

If, yes, please list co-sponsor:

Please select a program topic:

Stress Management
Anger Management
Grief Management
College Survival Skills
Relationship issues
Self Esteem building
Anxiety Management (test/performance)
Transition Issues
Substance Abuse Education
Additions
Mental Health Related Issues
Holistic Living (integrating medicine, psychology)

What do you hope the participants will gain from this program?

Requested length of program:

Location:

Requested date/times for program:
Please list 3 choices, in order of preference):

Is attendance mandatory?  Yes/No

Please provide any additional information that you think will be helpful:

Winston-Salem State University

601 S. Martin Luther King Jr. Drive

Winston-Salem, NC 27110

Phone: (336) 750-2000



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