This form is used for students, faculty, or staff requesting a presentation to a classroom, organization, department, or WKU group. If you need to schedule a counseling appointment, please call the Counseling Center directly at: 270-745-3159.
When completing the request form, please note we need at least two (2) weeks lead time to complete your request.
* Role on campus:
College (if applicable)
* Outreach Topic:
Are you requesting an interview with a staff member?
If you are requesting an interview will it be used for one of the following:
Are you requesting a specific staff member?
* Length of Outreach:
* Zoom (requestor is responsible to schedule zoom session and share link with the Counseling
Center, PRIOR to the outreach)
* Audio/Visual equipment available for the presentor:
Some of the links on this page may require additional software to view.