Outreach Request Form Outreach Request Form The John Carroll University Counseling Center offers programs, workshops, class presentations, and training opportunities for the university community. To request a presentation, please fill out the form below. We will make every effort to meet your needs, but we request a minimum of 3-4 weeks' notice if we have to prepare a program. We will honor requests made less than two weeks ahead of time, if availability and scheduling allows. For more information, please contact John Carroll University Counseling Center at 216-397-4283. Name*Department*Phone*Email*Your Role*FacultyStaffStudentOtherWho is the target audience for this presentation?*FacultyStaffStudentsMix of the aboveEstimated size of audience*Topic Requested*Anxiety / StressImproving SleepBody Image / Eating DisordersConflictDepression / Suicide AwarenessMeditation and / or MindfulnessDiversitySelf-Confidence / Self-EsteemTime Mgmt / Study SkillsRelationship IssuesGatekeeper TrainingOther (describe below)Other training:If "Other" selected above, please describe type of presentation desired.Learning GoalsBriefly describe desired learning outcomes.Length of Presentation Desired*Desired date(s) and time(s) for presentation:*Where will this presentation occur?