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
