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spacer spacer Program Request Form

Thank you for contacting us and for thinking of the Counseling Center as a resource to you! We take great pride in working with all members of the campus toward increasing the emotional well-being of the KSC community and we're happy to offer programming on a wide variety of topics.

If you'd like to invite us to speak or facilitate with your group, partner with us to offer programming, or get support and resources to lead your own program, please fill out the request form below. This form will help us learn more about your needs and ideas for a program and start the collaborative process with you toward designing a great program. To allow for thoughtful planning and staff scheduling, be sure to request your program AT LEAST TWO WEEKS IN ADVANCE of the date you intend for the program to be offered.

A member of the Counseling Center staff will contact you to respond to your request. This may take a few days, depending upon how quickly we can identify available staff. If you have not heard from us within 5 business days, please call the Counseling Center at 603-358-2437.

Fill out my online form.


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