Outreach Presentation request form

Please complete this form to the best of your ability. Once we have received your request, we will contact you to discuss it in more detail and confirm the presentation date. Please note that requests should be made at least two or three weeks prior to the date of the presentation. Thank you.

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Acceptance by Submitter

By submitting this form, I am agreeing to the service terms below.

Please do not click "Submit" more than once. 

Counseling Center Service Agreement

  • You agree to pay for any outside costs incurred for the outreach presentation at direct-billed rates. These costs include, but are not limited to, printing, duplicating, postage, production, supplies, travel, shipping, advertising placement, electronic transmissions, video production, special projects, etc.

  • Counseling Center will retain ownership of outreach presentation files.  Outreach presentation files will not be given to you. When edits are needed, we will make them for you.

For questions regarding these terms, please contact the Counseling Center at 715-232-2466;
email: counseling@uwstout.edu