Counseling and Psychological Services
Division of Student Affairs
QPR Request Form
All program requests need to be submitted 3 weeks prior to the date of the intended program.
Due to CAPS staff meeting time, trainings will not be held on Tuesdays from 9-11am.
All fields are required.
Requestor's Name:
Unit/Organization:
Telephone:
Email Address:
Location:
workshop at CAPS
workshop at our Office
Please allow for 2 hours
Reserving a room with a projection screen to allow for our powerpoint presentation would be appreciated and helpful.
Preferred dates/times (you may list 3 options, if you have no preference please leave blank)
Number of participants expected (maximum number is 30 for out-of house training):
Room/Building where the workshop will be held:
Please provide any additional information that will help us facilitate your request:
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