Counselling Form

Counselling form

Address

Work Telephone Number

*At which number do you wish to be called for your appointment?

Home Telephone Number

Work Telephone Number

Choose from the list below which topics you would like to discuss with a counsellor. You may select as many topics as you like.

Program Choice

Program /Course Information

Goal Clarification

Interest Assessment

Procrastination or Time Management

Study Skills

Exam Concerns

Coping: studies /family /work

Adjusting to Distance Education

Adjusting to Post-secondary Studies

Other

Please add relevant information here (try to limit your comments to fewer than 100 words)

I wish to schedule a counselling session on

Write To Us

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